Outcome and Prevalence of Congenital Heart Diseases in Neonates at a Tertiary Hospital in the State of Santa Catarina - Abstract
Objective: The present study aims to analyze the conduct and outcome of patients diagnosed with congenital heart disease (CHD) referred by the neonatology service of a tertiary hospital in the State of Santa Catarina.
Study design: This research is characterized by being a cross-sectional epidemiological design. To this end, we used the records of newborns admitted to the Neonatal Intermediate Care Unit, Neonatal Intensive Care Unit and the Delivery Room of the hospital service who had suspected CHD by transthoracic echocardiogram within 60 days after birth, in the period of June from 2017 to June 2022. During data collection, several variables were analyzed, including pregnancy, the characteristics of the newborn, and the relationship between the two in the outcome of the CHD condition. Results: In the studied region, it was detected that 8 out of every 1,000 natives were diagnosed with CHD. Among newborns with CHD, it was found that 67.2% were born preterm, and 93% of pregnant women underwent prenatal care, with the number of consultations considered adequate in 58.6%. Furthermore, 59.4% of unborn children were classified as low weight. Clinical treatment occurred in 69.5% of cases, referral to a reference unit in 19.5% of patients and 10.9% of infants died. Conclusion: Finally, it is important to highlight that knowledge of the prevalence of CHD is essential to establish appropriate conduct and management techniques for newborns (NB) with CHD, aiming to provide better care for these patients from the beginning.