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基于对一家三级护理医院儿科心脏病科住院患者的六个月分析,开伯尔-普赫图赫瓦省(KPK)各分区先天性心脏病的发病率

Frequency of Congenital Cardiac Disease in Various Divisions of Khyber Pakhtunkhwa (KPK) Based on a Six-Month Analysis of Inpatients at a Tertiary Care Hospital's Pediatric Cardiology Unit.

作者信息

Ali Farman, Wazir Haseen Dil, Akbar Ali, Khan Abdul Moeed, Rehman Yasir, Hussain Ijaz, Gul Huma, Ullah Ikram, Khan Khadim, Afridi Aamir K

机构信息

Pediatric Cardiology, Peshawar Institute of Cardiology, Peshawar, PAK.

Pediatric Cardiology, Lady Reading Hospital, Peshawar, PAK.

出版信息

Cureus. 2023 Feb 20;15(2):e35209. doi: 10.7759/cureus.35209. eCollection 2023 Feb.

Abstract

OBJECTIVE

To identify the frequency of congenital heart disease (CHD) in various Khyber Pakhtunkhwa (KPK) divisions.

MATERIALS AND METHODS

To perform this research, we reviewed the medical records of pediatric cardiology patients hospitalized between January 2022 and July 2022. Data was taken from the cardiology department's computerized data system between January 1 and July 31, 2022. To prevent any errors in diagnosis and address them during input by the ward clerk, patients' addresses, diagnoses, and gender were verified with the computerized medical record. Data were analyzed, and frequency and percentages were calculated. Per the digital mapping of KPK districts, we stratified and examined the data among various KPK divisions.

RESULTS

Out Of the 371 patients with CHD who were admitted, 36.98% (137) were from the Peshawar division, 28.84% (107) from the Malakand division, 16.71% (62) from the Mardan division, 6.1% (23) from the Kohat division, 4.3% (16) from the Bannu division, 3.5% (13) from the Dera Ismail Khan division, and 3.5% (13) from the Hazara division. A total of 371 had CHD, of which 234 (63.07%) were cyanotic and 137 (36.92%) were cyanotic. The most prevalent acynotic congenital heart defect was patent ductus arteriosus (PDA) at 36.32% (85), followed by a ventricular septal defect (VSD) at 35.04 (82). The most frequent acyanotic congenital cardiac abnormality was tetralogy of Fallot (TOF) at 49.63% (68), which was followed by transposition of the great arteries (TGA) at 33.57% (46).

CONCLUSION

In KPK, congenital heart disease is most prevalent in the divisions of Peshawar and Malakand, while it is least prevalent in Hazara.

摘要

目的

确定开伯尔-普赫图赫瓦省(KPK)各分区先天性心脏病(CHD)的发病率。

材料与方法

为开展本研究,我们查阅了2022年1月至2022年7月期间住院的儿科心脏病患者的病历。数据取自2022年1月1日至7月31日心脏病科的计算机数据系统。为防止诊断错误并在病房文员输入数据时加以纠正,我们对照计算机化病历核实了患者的地址、诊断结果和性别。对数据进行分析,并计算发病率和百分比。根据KPK地区的数字地图,我们对KPK各分区的数据进行分层和分析。

结果

在371例确诊为CHD的患者中,36.98%(137例)来自白沙瓦分区,28.84%(107例)来自马拉坎德分区,16.71%(62例)来自马尔丹分区,6.1%(23例)来自科哈特分区,4.3%(16例)来自班努分区,3.5%(13例)来自德拉伊斯梅尔汗分区,3.5%(13例)来自哈扎拉分区。共有371例患有CHD,其中234例(63.07%)为青紫型,137例(36.92%)为非青紫型。最常见的非青紫型先天性心脏缺陷是动脉导管未闭(PDA),占36.32%(85例),其次是室间隔缺损(VSD),占35.04%(例82)。最常见的青紫型先天性心脏异常是法洛四联症(TOF),占49.63%(68例),其次是大动脉转位(TGA),占33.57%(46例)。

结论

在KPK,先天性心脏病在白沙瓦和马拉坎德分区最为普遍,而在哈扎拉分区最为少见。

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