Murni Indah K, Musa Ndidiamaka L
Department of Pediatrics, Dr Sardjito Hospital, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Washington, Seattle Children's Hospital, Seattle, WA, United States.
Front Pediatr. 2018 Mar 14;6:59. doi: 10.3389/fped.2018.00059. eCollection 2018.
Congenital heart disease (CHD) is one of the major global health problems with the highest birth prevalence in low- and middle-income countries. In these populous countries, basic health services for the children with CHD, including surgery, are lacking. Even though surgery is performed, outcome after cardiac surgery is influenced by the quality of the postoperative management with a reported high morbidity and mortality. Henceforth, there is an urgent need for comprehensive interventions to provide high quality cardiac intensive care programs to improve the quality of pediatric cardiac surgery services in order to address high morbidity and mortality after cardiac surgery. The development and training of the health workers in the field of pediatric cardiac intensive care program is required. It is imperative to conduct this training prior to actual implementation of the program in limited resources settings.
先天性心脏病（CHD）是全球主要的健康问题之一，在低收入和中等收入国家的出生患病率最高。在这些人口众多的国家，缺乏针对先天性心脏病患儿的基本医疗服务，包括手术。即使进行了手术，心脏手术后的结果也受到术后管理质量的影响，据报道发病率和死亡率很高。因此，迫切需要采取综合干预措施，提供高质量的心脏重症监护项目，以提高小儿心脏手术服务质量，从而解决心脏手术后的高发病率和死亡率问题。需要开展小儿心脏重症监护项目领域卫生工作者的培养和培训。在资源有限的环境中实际实施该项目之前进行这种培训势在必行。
