Trends in outpatient visits and deaths due to congenital heart defects in Peru
Introduction: Congenital heart defects (CHD) are the most frequent congenital birth defects, affecting approximately 1% of newborns and constituting the main cause of death among all congenital malformations. The prevalence of CHD in Andean America is heterogeneous and in Peru the burden of CHD is u...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | International Journal of Cardiology Congenital Heart Disease |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666668522000179 |
| _version_ | 1818047792881336320 |
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| author | Astrid Tauma-Arrué Samantha Chávez-Saldivar Juan Carlos Mego Odalis Luis-Ybáñez Joel Coronado-Quispe Stella Lucena Carlos Alvarez Eneida Melgar Alberto Morales Rafael Marquez Holly Wilhalme Katia Bravo-Jaimes |
| author_facet | Astrid Tauma-Arrué Samantha Chávez-Saldivar Juan Carlos Mego Odalis Luis-Ybáñez Joel Coronado-Quispe Stella Lucena Carlos Alvarez Eneida Melgar Alberto Morales Rafael Marquez Holly Wilhalme Katia Bravo-Jaimes |
| author_sort | Astrid Tauma-Arrué |
| collection | DOAJ |
| description | Introduction: Congenital heart defects (CHD) are the most frequent congenital birth defects, affecting approximately 1% of newborns and constituting the main cause of death among all congenital malformations. The prevalence of CHD in Andean America is heterogeneous and in Peru the burden of CHD is unknown. Objective: To describe the trends of CHD outpatient visits and mortality and their variation according to sex, age and altitude levels. Methods: We performed a secondary data analysis of CHD outpatient visits and mortality using publicly available information from the Peruvian Ministry of Health national registries from 2000 to 2020. Results: There was a statistically significant increase in CHD outpatient visits of 20.4 over time. Pediatric patients, those who lived at low altitude (≤2500 m above sea level) and those who lived in the capital of Peru had a higher average number of outpatient visits per 100 000 population. CHD-related mortality increased by 0.31 per million population per year. Although this trend was not statistically significant overall, pediatric patients experienced higher mortality than adults. Conclusion: In Peru, the outpatient CHD volume has increased significantly over the last two decades, however CHD-related mortality has remained constant. Children in the first decade of life are the predominant group in both, outpatient CHD volume and mortality. |
| first_indexed | 2024-12-10T10:11:26Z |
| format | Article |
| id | doaj.art-8059147e53304b1e8a38a90b2206ad2b |
| institution | Directory Open Access Journal |
| issn | 2666-6685 |
| language | English |
| last_indexed | 2024-12-10T10:11:26Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology Congenital Heart Disease |
| spelling | doaj.art-8059147e53304b1e8a38a90b2206ad2b2022-12-22T01:53:06ZengElsevierInternational Journal of Cardiology Congenital Heart Disease2666-66852022-03-017100334Trends in outpatient visits and deaths due to congenital heart defects in PeruAstrid Tauma-Arrué0Samantha Chávez-Saldivar1Juan Carlos Mego2Odalis Luis-Ybáñez3Joel Coronado-Quispe4Stella Lucena5Carlos Alvarez6Eneida Melgar7Alberto Morales8Rafael Marquez9Holly Wilhalme10Katia Bravo-Jaimes11Universidad Nacional Mayor de San Marcos, Facultad de Medicina de San Fernando, Lima, Peru; Sociedad Científica de San Fernando, Lima, PeruUniversidad Nacional Mayor de San Marcos, Facultad de Medicina de San Fernando, Lima, Peru; Sociedad Científica de San Fernando, Lima, PeruUniversidad Nacional Mayor de San Marcos, Facultad de Medicina de San Fernando, Lima, Peru; Sociedad Científica de San Fernando, Lima, PeruUniversidad Nacional Mayor de San Marcos, Facultad de Medicina de San Fernando, Lima, Peru; Sociedad Científica de San Fernando, Lima, PeruUniversidad Nacional Mayor de San Marcos, Facultad de Medicina de San Fernando, Lima, Peru; Sociedad Científica de San Fernando, Lima, PeruSub Unidad Integral Especializada de Atención al Paciente de Cardiología y Cirugía Cardiovascular, Instituto Nacional del Niño de San Borja, Lima, PeruSub Unidad Integral Especializada de Atención al Paciente de Cardiología y Cirugía Cardiovascular, Instituto Nacional del Niño de San Borja, Lima, PeruSub Unidad Integral Especializada de Atención al Paciente de Cardiología y Cirugía Cardiovascular, Instituto Nacional del Niño de San Borja, Lima, PeruInstituto Peruano de Ecocardiografía Fetal A. C, Lima, PeruDepartamento de Cardiología Pediátrica, Instituto Nacional del Corazón, Lima, PerúDepartment of Medicine Statistics Core, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USAAhmanson/UCLA Adult Congenital Heart Disease Center, University of California at Los Angeles, Los Angeles, CA, USA; Corresponding author. Ahmanson/UCLA Adult Congenital Heart Disease Center, 100 Medical Plaza Suite 630 East, Los Angeles, CA, 90095, USA.Introduction: Congenital heart defects (CHD) are the most frequent congenital birth defects, affecting approximately 1% of newborns and constituting the main cause of death among all congenital malformations. The prevalence of CHD in Andean America is heterogeneous and in Peru the burden of CHD is unknown. Objective: To describe the trends of CHD outpatient visits and mortality and their variation according to sex, age and altitude levels. Methods: We performed a secondary data analysis of CHD outpatient visits and mortality using publicly available information from the Peruvian Ministry of Health national registries from 2000 to 2020. Results: There was a statistically significant increase in CHD outpatient visits of 20.4 over time. Pediatric patients, those who lived at low altitude (≤2500 m above sea level) and those who lived in the capital of Peru had a higher average number of outpatient visits per 100 000 population. CHD-related mortality increased by 0.31 per million population per year. Although this trend was not statistically significant overall, pediatric patients experienced higher mortality than adults. Conclusion: In Peru, the outpatient CHD volume has increased significantly over the last two decades, however CHD-related mortality has remained constant. Children in the first decade of life are the predominant group in both, outpatient CHD volume and mortality.http://www.sciencedirect.com/science/article/pii/S2666668522000179Congenital heart diseaseBurdenMortalityAndesSouth AmericaPeru |
| spellingShingle | Astrid Tauma-Arrué Samantha Chávez-Saldivar Juan Carlos Mego Odalis Luis-Ybáñez Joel Coronado-Quispe Stella Lucena Carlos Alvarez Eneida Melgar Alberto Morales Rafael Marquez Holly Wilhalme Katia Bravo-Jaimes Trends in outpatient visits and deaths due to congenital heart defects in Peru International Journal of Cardiology Congenital Heart Disease Congenital heart disease Burden Mortality Andes South America Peru |
| title | Trends in outpatient visits and deaths due to congenital heart defects in Peru |
| title_full | Trends in outpatient visits and deaths due to congenital heart defects in Peru |
| title_fullStr | Trends in outpatient visits and deaths due to congenital heart defects in Peru |
| title_full_unstemmed | Trends in outpatient visits and deaths due to congenital heart defects in Peru |
| title_short | Trends in outpatient visits and deaths due to congenital heart defects in Peru |
| title_sort | trends in outpatient visits and deaths due to congenital heart defects in peru |
| topic | Congenital heart disease Burden Mortality Andes South America Peru |
| url | http://www.sciencedirect.com/science/article/pii/S2666668522000179 |
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