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Titolo:
Survival with congenital heart disease and need for follow up in adult life
Autore:
Wren, C; OSullivan, JJ;
Indirizzi:
Freeman Rd Hosp, Dept Paediat Cardiol, Newcastle Upon Tyne NE7 7DN, Tyne &Wear, England Freeman Rd Hosp Newcastle Upon Tyne Tyne & Wear England NE7 7DN , England
Titolo Testata:
HEART
fascicolo: 4, volume: 85, anno: 2001,
pagine: 438 - 443
SICI:
1355-6037(200104)85:4<438:SWCHDA>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ATRIOVENTRICULAR SEPTAL-DEFECTS; AORTIC-VALVE STENOSIS; LONG-TERM SURVIVAL; SURGICAL REPAIR; TRUNCUS-ARTERIOSUS; PULMONARY ATRESIA; NATURAL-HISTORY; PEDIATRIC CARDIOLOGY; INCREASING WORKLOAD; OUTPATIENT CLINICS;
Keywords:
adult congenital heart disease; resources; patient survival;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
65
Recensione:
Indirizzi per estratti:
Indirizzo: Wren, C Freeman Rd Hosp, Dept Paediat Cardiol, Newcastle Upon Tyne NE7 7DN, Tyne &Wear, England Freeman Rd Hosp Newcastle Upon Tyne Tyne & Wear England NE7 7DN d
Citazione:
C. Wren e J.J. O'Sullivan, "Survival with congenital heart disease and need for follow up in adult life", HEART, 85(4), 2001, pp. 438-443

Abstract

Objective-To predict the growth in demand for long term follow up of adults with congenital heart disease. Design-Observed diagnoses of congenital heart disease in infancy and childhood were adjusted for observed infant survival, predicted further survivalto age 16 years, underascertainment in older childhood, and predicted needfor long term follow up. Setting-The resident population of one health region in the UK. Patients-All confirmed cardiovascular malformations diagnosed in 1985 to 1999 in children born in 1985 to 1994. Results-1942 cases of congenital heart disease were diagnosed in infancy in a population of 377 310 live births (5.2/1000). 1588 (82%) survived to 1 year and 1514 were predicted to survive to age 16. 605 further diagnoses were made in childhood-678 when adjusted for underascertainment. Thus, 2192 children were predicted to reach age 16, of whom 784 would require long termfollow up in adult life. The adult population would comprise 28% complex, 54% significant, and 18% minor congenital heart disease. These figures predict the need for adult follow up of congenital heart disease of over 200 extra cases per 100 000 live births each year or over 1600 extra cases a yearevery year in the UK. Conclusions-The need for follow up of congenital heart disease in adult life is likely to grow linearly, with increasing complexity and increasing need for reinvestigation and reintervention with time. Appropriate provision should be made for adequate manpower, resources, and facilities for care ofthese patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 21:28:54