Xuan Tuan Ho, The Phuoc Long Phan, Duy Kien Vu, Manh Cuong Le, Van Son Nguyen, Dalla-Pozza Robert
Center for International Health, Ludwig-Maximilians-Universität München, 80539 Munich, Germany.
School of Medicine and Pharmacy, Da Nang University, Da Nang 550000, Vietnam.
J Cardiovasc Dev Dis. 2019 Dec 27;7(1):2. doi: 10.3390/jcdd7010002.
Atrial septal defect (ASD) is a non-physiologic communication between the two atria, allowing the shunt between systemic and pulmonary circulation. Data about ASD prevalence among congenital heart disease patients (CHD) in Vietnam are still scarce. We aim to assess the trends in the prevalence of ASD patients and associated factors among CHD patients. This was a cross-sectional study, with data collected from medical records from 1220 CHD patients in Da Nang hospital from 1 January 2010 to 31 December 2015. Descriptive statistics were used to estimate the prevalence of ASD among CHD patients. Comparative statistical methods were used to compare groups and logistic regression to access associated factors with ASD. The overall prevalence of ASD among CHD patients was 18.5% between 2010 and 2015. The prevalence varied between periods, ranging between 15% and 31.9% during the period. The prevalence of ASD women among CHD (25.9%) was significantly higher than for men (16.0%). The prevalence of ASD increased gradually when the age group increased. The factors associated with increased ASD prevalence were being a female and being in an older age group. The findings suggest that targeted policy should provide more-specific health-care services of ASD for women and older patients.
房间隔缺损（ASD）是两心房之间的一种非生理性交通，使得体循环和肺循环之间存在分流。越南先天性心脏病（CHD）患者中房间隔缺损患病率的数据仍然匮乏。我们旨在评估先天性心脏病患者中房间隔缺损患者的患病率趋势及相关因素。这是一项横断面研究，数据收集自岘港医院2010年1月1日至2015年12月31日期间1220例先天性心脏病患者的病历。描述性统计用于估计先天性心脏病患者中房间隔缺损的患病率。采用比较统计方法对各组进行比较，并采用逻辑回归分析房间隔缺损的相关因素。2010年至2015年期间，先天性心脏病患者中房间隔缺损的总体患病率为18.5%。患病率在不同时期有所不同，在此期间介于15%至31.9%之间。先天性心脏病患者中女性房间隔缺损的患病率（25.9%）显著高于男性（16.0%）。随着年龄组的增加，房间隔缺损的患病率逐渐上升。与房间隔缺损患病率增加相关的因素是女性和年龄较大的年龄组。研究结果表明，针对性政策应为女性和老年患者提供更具针对性的房间隔缺损医疗服务。
