Factors and Morbidities Associated with the Delayed Diagnosis of Congenital Heart Disease in Children Under 5

Abstract

Objective: The aim of this study is to highlight the factors associated with the delayed diagnosis of Congenital Heart Disease and the resultant probability of developing life-threatening co-morbidities.
Method:Aretrospective, population-based study was performed, consisting of 500 children with undiagnosed CHD, at Pediatric Medical Emergency, Children Hospital Faisalabad, from June 2021 to December 2021.
Result: According to the results, male predominance was observed (M: F = 1.3:1) with age ranging from 1 to 60 months. Most of them developed symptoms of CHD at or before the age of 1 month (n= 233; 47%) Only 62% were diagnosed at the age ranging between 2 to 6 months. Main factors for the delayed diagnosis of CHD were delayed first medical visit (n=230) and socioeconomic restraints (n=227). Main complications of CHD at the time of presentation were Hypovolemic shock (n=362; 72%) and Pulmonary Hypertensive Crisis
(n=52; 10%).
Conclusion: The delayed diagnosis of CHD is associated with life-threatening complications and comorbidities, which can be prevented with early diagnosis. The need of an hour is trained medical personnel, general public awareness, and easy access to specialized, well-equipped healthcare facilities.

How to cite: Zahid Z, Khan HS, Mazhar Z, Anam M. Factors and Morbidities Associated with the Delayed Diagnosis of
Congenital Heart Disease in Children Under 5. Esculapio - JSIMS 2022;18(04):248-252