scholarly journals CONGENITAL HEART DISEASE SURVIVAL IN LOW AND MIDDLE INCOME COUNTRIES: LINKING INVESTMENT AND OUTCOMES

2018 ◽  
Vol 71 (11) ◽  
pp. A607
Author(s):  
Sarah Rahman ◽  
K.M. Cherian ◽  
Jan Christensen ◽  
Kaitlin Doherty ◽  
David de Ferranti ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Considerations for Newborn Screening for Critical Congenital Heart Disease in Low- and Middle-Income Countries

2020 ◽  
Vol 6 (2) ◽  
pp. 49
Author(s):  
Bistra Zheleva ◽  
Sreehari M. Nair ◽  
Adriana Dobrzycka ◽  
Annamarie Saarinen
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Staff Training ◽  
Congenital Heart ◽  
Training Needs ◽  
Screening Service ◽  
Critical Congenital Heart Disease ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

We propose several considerations for implementation of critical congenital heart disease (CCHD) screening for low- and middle-income countries to assess health system readiness for countries that may not have all the downstream capacity needed for treatment of CCHD. The recommendations include: (1) assessment of secondary and tertiary level CHD health services, (2) assessment of birth delivery center processes and staff training needs, (3) data collection on implementation and quality surgical outcomes, (4) budgetary consideration, and (5) consideration of the CCHD screening service as part of the overall patient care continuum.

Congenital Heart Disease in Low- and Lower-Middle–Income Countries: Current Status and New Opportunities

2019 ◽  
Vol 21 (12) ◽  
Author(s):  
Liesl Zühlke ◽  
John Lawrenson ◽  
George Comitis ◽  
Rik De Decker ◽  
Andre Brooks ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Current Status ◽  
Middle Income ◽  
Middle Income Countries

Paediatric cardiac surgery in low-income and middle-income countries: a continuing challenge

2015 ◽  
Vol 100 (12) ◽  
pp. 1156-1159 ◽  
Author(s):  
Nguyenvu Nguyen ◽  
Juan Leon-Wyss ◽  
Krishna S Iyer ◽  
A Thomas Pezzella
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Low Income ◽  
Congenital Heart ◽  
Cardiac Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Paediatric Cardiac Surgery ◽  
The World

Despite advances in surgical and catheter-based treatment for congenital heart disease (CHD), there remain wide disparities across the globe. Ongoing international humanitarian and in-country programmes are working to address these issues with the ultimate goal to increase the quality and quantity of paediatric cardiac care, particularly in under-served regions of the world. This review aims to illustrate the reasons for these inequalities and suggests novel ways of improving access and sustainability of CHD programmes in low-income and middle-income countries.

scholarly journals Perioperative infections in congenital heart disease

2017 ◽  
Vol 27 (S6) ◽  
pp. S14-S21 ◽  
Author(s):  
Indah K. Murni ◽  
Graeme MacLaren ◽  
Debra Morrow ◽  
Parvathi Iyer ◽  
Trevor Duke
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Cardiac Failure ◽  
Congenital Heart ◽  
Delayed Presentation ◽  
Poor Growth ◽  
Middle Income ◽  
Middle Income Countries ◽  
Good Nutrition ◽  
The Impact

AbstractBackgroundPerioperative infections have significant consequences for children with congenital heart disease (CHD), which can manifest as acute or chronic infection followed by poor growth and progressive cardiac failure. The consequences include delayed or higher-risk surgery, and increased postoperative morbidity and mortality.MethodsA systematic search for studies evaluating the burden and interventions to reduce perioperative infections in children with CHD was undertaken using PubMed.ResultsLimited studies conducted in low- to middle-income countries demonstrated the large burden of perioperative infections among children with CHD. Most studies focussed on infections after surgery. Few studies evaluated strategies to prevent preoperative infection or the impact of infection on decision-making around the timing of surgery. Children with CHD have multiple risk factors for infections including delayed presentation, inadequate treatment of cardiac failure, and poor nutrition.ConclusionsThe burden of perioperative infections is high among children with CHD, and studies evaluating the effectiveness of interventions to reduce these infections are lacking. As good nutrition, early corrective surgery, and measures to reduce nosocomial infection are likely to play a role, practical steps can be taken to make surgery safer.

Challenges and possibilities of developing cardiac surgery in a peripheral hospital of low- and middle-income countries

Perfusion ◽  
2020 ◽  
Vol 36 (1) ◽  
pp. 38-43
Author(s):  
Kaushal K Tiwari ◽  
Julia Grapsa ◽  
Shankar Laudari ◽  
Michal Pazdernik ◽  
Dominique Vervoort
Keyword(s):  
Cardiac Surgery ◽  
Heart Disease ◽  
Surgical Care ◽  
Capital City ◽  
World Population ◽  
Middle Income ◽  
Middle Income Countries ◽  
Peripheral Hospital ◽  
Challenges And Opportunities ◽  
Low And Middle Income

Objective: Over a million cardiac surgeries are performed every year around the globe. However, approximately 93% of world population living in low- and middle-income countries have no access to cardiac surgery. The incidence of rheumatic and congenital heart disease is high in Nepal, while only 2,500-3,000 cardiac surgeries are performed annually. The aim of our study is to analyze challenges and opportunities of establishing a cardiac surgery program in a peripheral hospital of Nepal. Methods: We analyzed our effort to establish a cardiac surgery program in a peripheral hospital in Nepal. Results: Out of 2,659 consulted and diagnosed patients, we performed 85 open-heart surgeries in 4 years. Mean age of patients was 38.35 ± 14.13 years. The majority of patients were male (62.4% of patients) with 65.9% suffering from rheumatic heart disease. Average intensive care unit stay and hospital stay were 2.32 ± 1.1 and 8.29 ± 2.75 days, respectively. No in-hospital mortality was observed. Conclusion: We conclude that developing cardiac surgical care in a peripheral hospital of a developing country is feasible with support from government, foreign colleagues, local teams, and non-governmental organizations. The availability of a regular cardiac surgery service in the periphery of the country makes such services more accessible for the patients and helps in reducing the long waiting lists and unmanageable workload in the established cardiac centers in the capital city.

scholarly journals Early-life conditions and older adult health in low- and middle-income countries: a review

2012 ◽  
Vol 4 (1) ◽  
pp. 10-29 ◽  
Author(s):  
M. McEniry
Keyword(s):  
Heart Disease ◽  
Older Adult ◽  
Early Life ◽  
Population Based ◽  
Adult Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Life Conditions ◽  
Early Life Conditions ◽  
Low And Middle Income

Population aging and subsequent projected large increases in chronic conditions will be important health concerns in low- and middle-income countries. Although evidence is accumulating, little is known regarding the impact of poor early-life conditions on older adult (50 years and older) health in these settings. A systematic review of 1141 empirical studies was conducted to identify population-based and community studies in low- and middle-income countries, which examined associations between early-life conditions and older adult health. The resulting review of 20 studies revealed strong associations between (1) in utero/early infancy exposures (independent of other early life and adult conditions) and adult heart disease and diabetes; (2) poor nutrition during childhood and difficulties in adult cognition and diabetes; (3) specific childhood illnesses such as rheumatic fever and malaria and adult heart disease and mortality; (4) poor childhood health and adult functionality/disability and chronic diseases; (5) poor childhood socioeconomic status (SES) and adult mortality, functionality/disability and cognition; and (6) parental survival during childhood and adult functionality/disability and cognition. In several instances, associations remained strong even after controlling for adult SES and lifestyle. Although exact mechanisms cannot be identified, these studies reinforce to some extent the importance of early-life environment on health at older ages. Given the paucity of cohort data from the developing world to examine hypotheses of early-life conditions and older adult health, population-based studies are relevant in providing a broad perspective on the origins of adult health.

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