%0 Journal Article
%T Long-Term Mortality of Children with Congenital Heart Disease Admitted to the Departmental University Hospital of Borgou/Alibori from 2011 to 2022
%A Serge Hugues Mahougnon Dohou
%A Nicolas Hamondji Amegan
%A Ahmad Ibrahim
%A G&#233
%A rard M&#233
%A d&#233
%A tinm&#232
%A Kpanidja
%A Chabi Olaniran Alphonse Biaou
%A Hou&#233
%A tondji L&#233
%A opold Codjo
%J World Journal of Cardiovascular Diseases
%P 166-186
%@ 2164-5337
%D 2024
%I Scientific Research Publishing
%R 10.4236/wjcd.2024.143014
%X <b>Background:</b> Congenital heart disease is a public health issue due to its incidence and mortality rate. The aim of this study was to investigate the long-term mortality of children with congenital heart disease admitted to the Departmental University Hospital of Borgou/Alibori (CHUD-B/A) from 2011 to 2022. <b>Methods:</b> This descriptive longitudinal study with analytical aims covered 11 years (April 1, 2011 to December 31, 2022). It consisted of a review of the records of children under 15 years of age with echocardiographically confirmed congenital heart disease. This was followed by an interview with the parents to assess the childrenĄ¯s current condition. Data were entered using Kobocollect software and analyzed using R Studio 4.2.2. software. <b>R</b><b>e</b><b>sults:</b> A total of 143 complete files were retained. The median age at diagnosis was 14 months (IIQ: Q1 = 4; Q3 = 60) with a range of 2 days and 175 months, and the sex-ratio (M/F) was 0.96. Left-to-right shunts were the most frequent cardiopathy group (62.9%). Only 35 children (24.5%) benefited from restorative treatment. The mortality rate was 31.5%. Median survival under the maximum bias assumption was 114 months and 216 months under the assumption of minimum bias. Survival was significantly better in children with right-to-left shunts (p = 0.0049) under the assumption of minimum bias. The death risk factors were: age at diagnosis less than 12 months (aHR = 7.58; 95% CI = 3.36 - 17.24; p &lt; 0.001), cyanogenic heart disease (aHR = 1.50; 95% CI = 3.36 - 17.24; p = 0.017), stopping medical follow-up (aHR = 3.80; 95% CI = 1.58 - 9.18; p = 0.003) and absence of restorative treatment (aHR = 2.04; 95% CI = 1.21 - 3.44; p = 0.007). <b>Conclusion:</b> The long-term mortality of congenital heart disease is high and favoured by the absence of restorative treatment. Local correction of congenital heart disease and medical follow-up will help to reduce this mortality.
%K Congenital Heart Disease
%K Long-Term
%K Mortality
%K Parakou
%K Risk Factors
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=132280