Prevalencia de cardiopatías congénitas en un hospital de segundo nivel que ameritaron tratamiento quirúrgico

Liliana Vázquez Salinas; María Enriqueta Juan Martínez; Jorge Mendoza Rendón; Luis Eduardo Gutiérrez Chablé; Máximo García Flores; Socorro Méndez Martínez

doi:10.19136/hs.a22n2.5276

Authors

Liliana Vázquez Salinas Pediatrician, Mexican Institute of Social Security General Hospital Zone 20 "La Margarita" Puebla Mexico. Department of Pediatrics. https://orcid.org/0000-0003-2552-8277
María Enriqueta Juan Martínez Pediatrician with a subspecialty in Cardiology, Mexican Institute of Social Security HGZ 20 Puebla Mexico. https://orcid.org/0000-0002-9389-8731
Jorge Mendoza Rendón Surgeon, Popular Autonomous University of the State of Puebla, Mexico https://orcid.org/0000-0002-3986-8259
Luis Eduardo Gutiérrez Chablé Surgeon, Autonomous University of Tabasco, Mexico https://orcid.org/0000-0002-3492-6878
Máximo Alejandro García Flores Medical specialist in Family Medicine, Mexican Institute of Social Security, Clinical Coordination of Health Education and Research https://orcid.org/0000-0002-5028-9178
Socorro Méndez Martínez Planning Coordinator and Institutional Liaison, Mexican Social Security Institute https://orcid.org/0000-0001-7463-0580

DOI:

https://doi.org/10.19136/hs.a22n2.5276

Abstract

Objective: To determine the prevalence of congenital heart disease (CHD) in a second level hospital that required surgical treatment.

Material and methods: Descriptive study carried out in patients diagnosed with CHD in a second level hospital of the Mexican Social Security Institute (IMSS) in Puebla, Mexico during the period 2016-2017. Records of full-term newborns (NB) up to 14 years of age analyzing sociodemographic variables, type of CHD and short-circuit, presence of associated anomalies, and referral to a third level hospital for surgical treatment were included. Data were collected and analyzed using the SPSS Statistics v25 program.

Results: The hospital prevalence of CHD that required referral to the third level hospital for surgical treatment was 6.8% in 2016 and 6.6% in 2017; the median age was 1 year. The 77.2% of CHDs were non-cyanotic, patent ductus arteriosus (PDA) was the most common shunt, and 19.2% had Down syndrome as an associated congenital anomaly.

Conclusion: We obtained a similar prevalence to other regions of Mexico, with acyanotic CHD being the most frequent cause of surgical treatments. Timely detection and referral will improve care and quality of life in these patients.

Keywords: Congenital Heart Disease; Prevalence; Congenital Defects; Cardiology; Pediatrics.

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Author Biographies

Liliana Vázquez Salinas, Pediatrician, Mexican Institute of Social Security General Hospital Zone 20 "La Margarita" Puebla Mexico. Department of Pediatrics.

Graduated from the Faculty of Medicine of the Meritorious Autonomous University of Puebla (BUAP), she specialized in Pediatrics at HGR 36 San Alejandro in Puebla City, certified by the Mexican Council for Pediatric Certification.
María Enriqueta Juan Martínez, Pediatrician with a subspecialty in Cardiology, Mexican Institute of Social Security HGZ 20 Puebla Mexico.

Graduated from the Faculty of Medicine of the Meritorious Autonomous University of Puebla (BUAP), she specialized in Pediatrics at HGR 36 San Alejandro in the City of Puebla, certified by the Mexican Board of Certification in Pediatrics and as a Pediatric Cardiologist at the Hospital de Cardiology from the Siglo XXI National Medical Center, certified by the Mexican Council of Cardiology.
Jorge Mendoza Rendón , Surgeon, Popular Autonomous University of the State of Puebla, Mexico

A doctor graduated from the Popular Autonomous University of the State of Puebla (UPAEP), he currently works as an intern for Social Service in Research within the Decentralized Administrative Operation Body in Puebla.
Luis Eduardo Gutiérrez Chablé, Surgeon, Autonomous University of Tabasco, Mexico

Surgeon, Graduated from the Autonomous University of Tabasco, he worked as an Intern in Social Service in Research in the Puebla Decentralized Administrative Operation Body, currently studying a residency in Epidemiology at the General Hospital of Zone No. 20 of the Mexican Insurance Institute Social, Puebla
Máximo Alejandro García Flores, Medical specialist in Family Medicine, Mexican Institute of Social Security, Clinical Coordination of Health Education and Research

Graduated from the Faculty of Medicine of the National Autonomous University of Mexico (UNAM), specialized in Family Medicine at the Mexican Institute of Social Security, currently works as Assistant Medical Coordinator of Health Education, in the Organ of Decentralized Administrative Operation (OOAD) of Puebla
Socorro Méndez Martínez, Planning Coordinator and Institutional Liaison, Mexican Social Security Institute

Graduated from the Faculty of Medicine of the Meritorious Autonomous University of Puebla (BUAP), she specialized in Pediatrics at HGR 36 San Alejandro in Puebla City, certified by the Mexican Board of Pediatric Certification, trained as a Pediatric Neonatologist at the Center La Raza National Doctor, certified by the Mexican Council of Neonatology.