G26(P) Screening for congenital heart disease among primary school children in khartoum state

• Published in: Archives of disease in childhood 2020-10, Vol.105 (Suppl 1), p.A6-A7
• Main Authors: Babikir, E, Elbasheer, B, Berair, R
• Format: Article
• Language: English
• Subjects: Aorta; Autism; Autism Spectrum Disorders; Birth defects; Cardiovascular disease; Cardiovascular diseases; Children; Congenital defects; Congenital diseases; Coronary artery disease; Death; Echocardiography; Elementary School Students; Elementary Schools; Heart diseases; Statistical analysis
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2020-rcpch.15

BackgroundCongenital heart defects are the most common type of birth defects and remain the leading cause of death from congenital malformations.AimsTo determine the prevalence of latent congenital heart disease (CHD) among Governmental primary school children in Khartoum state.MethodsThis is Descriptive cross sectional school based study which was conducted in the three localities in Khartoum state (the capital of Sudan) which are Sharq Alneel, Khartoum and Omdurman locality using a multistage clustered sampling technique recruited 2400 pupils aged between 6 and 14. Team of doctors worked the history and clinical examination to be related to Echocardiography (Echo) findings which had been done by consultant cardiologist. The study period was 6 months (19th of September 2016 – 15th of February 2017) confidence interval 99% and confidence width, 01.ResultsAmong 2400 pupils 10 new cases of CHD were founded giving the prevalence of 4,2:1000. Male:Female ratio 1:1.4, with ASD being the commonest representing 5 cases (,21%) giving the prevalence of 2:1000, Dextrocardia 2 cases (,083%) prevalence of, 8:1000, MVP 2 cases (,083%) with prevalence of, 83:1000 and Dilated Aortic roots 1 case (,045%) giving the prevalence of, 45:1000. The innocent murmurs were common representing 18%(431 children) of study group. And the statistical tests revealed associations between CHD and sex (p-value, 042) And also there is association between CHD and age (p-value, 003) and school absence (p-value, 035).ConclusionCHD prevalence is almost as what mentioned in literature, innocent murmurs are not uncommon, as it is asymptomatic and not affecting pupils general health and no serious complications has been detected clinically or by ECHO, So early screening and involving of health system and governmental recruitment for this sake is doubtful and may not be cost effective in such a depleted 3rd world country like Sudan but clinical examination and oximetry screening may be of benefit as preschool assessment tool.