Show simple item record

dc.contributor.advisor Sutton, C. Shibambu, Giyani Patrick 2020-09-24T08:54:28Z 2020-09-24T08:54:28Z 2019
dc.description Thesis (M. Med.(Paediatrics and Child Health)) -- University of Limpopo, 2019 en_US
dc.description.abstract Background: Congenital heart disease (CHD) is a significant contributor to Under 5 Mortality rate(U5MR) in Limpopo. Atrioventricular septal defect (AVSD) is the best ascertained lesion in Limpopo and is strongly associated with Down syndrome. Few children from Limpopo with CHD including AVSD access cardiac diagnostic and surgical services. Objectives: The study aimed to enumerate, describe syndromes associated with AVSD and outcomes of children with AVSD at Pietersburg hospital. Methods: This is a Retrospective study of all children (n=80) diagnosed with AVSD from 1 January 2010 to 31 December 2014 at Pietersburg hospital. Data were drawn from echocardiogram reports and patient records. District Health Information Software (DHIS) data was used to obtain the number of live births per district during the 5 years study period. Results: Eight hundred and sixty six (n=866) patients had a first diagnosis of CHD confirmed on echocardiography and 80 (9.2%) of these had AVSD (an estimated 31.5% of expected cases of AVSD). Eighty four per cent (84%) of AVSD patients were associated with Down syndrome. 42/67 (63%) AVSD patients were referred for surgical assessment and of those 15/42 (36%) had surgery. The median interval between diagnosis and surgery was 13 months. Seventy five percent (n=50/67) of patients defaulted follow up. Conclusion: The study confirmed that most children with AVSD had associated Down syndrome and that the majority of children with AVSD from Limpopo do no access surgery. There is under referral of children with Down syndrome for screening of CHD. en_US
dc.format.extent ix, 30 leaves en_US
dc.language.iso en en_US
dc.relation.requires Adobe Acrobat Reader en_US
dc.subject Congenital heart disease en_US
dc.subject Atrioventricular septal defect en_US
dc.subject Mortality rate en_US
dc.subject Children with Down syndrome en_US
dc.subject.lcsh Congenital heart disease in children en_US
dc.subject.lcsh Cardiovascular system -- Diseases -- South Africa -- Limpopo en_US
dc.subject.lcsh Children with Down syndrome en_US
dc.title Ascertainment and outcomes of atrioventricular septal defects in Pietersburg Hospital, Limpopo Province, South Africa en_US
dc.type Thesis en_US

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search ULSpace


My Account