The risk factors associated with complications in pediatric patients with heart disease admitted to inpatient care at Pattani Hospital
Keywords:
pediatric heart disease, congenital heart disease, anemia, pediatric heart disease complicationsAbstract
Background: Heart disease found in children in particular, congenital heart disease is most common in children and its complications are more often found than normal children. Care for pediatric heart patients aims to prevent serious complications that cause the patient to be hospitalized or die. Finding risk factors for complications is therefore one of the methods leading to develop guidelines to prevent or reduce the severity of complications in pediatric heart disease patients.
Objective: To study the risk factors associated with complications in hospitalized pediatric patients with heart disease at Pattani Hospital.
Method: Search for information on pediatric patients receiving care at the pediatric heart disease clinic from the HOSxP program of Pattani Hospital, there were 117 cases. They were divided into 2 groups: 1.) Pediatric patients diagnosed with heart disease and the complications being studied included pneumonia, heart failure and respiratory infection (33 cases or 28.2%) and 2.) The same group of pediatric patients without complications occurred (84 cases or 71.8%). Factors associated with complications were analyzed by student t-test, exact probability test and odds ratio (OR) from logistic regression analysis.
Results: Characteristics that increase the risk of complications being studied leading to hospitalization included anemia (OR 70.47, 95% CI 8.31, 597.28), low body weight (OR 21.96, 95% CI 3.04, 158.46), Down syndrome (OR 8.30, 95% CI 1.48, 46.52), patients who had not yet had heart surgery (OR 6.47, 95% CI 1.83, 22.93), cardiomegaly (OR 8.16, 95% CI 1.20, 55.68), non-compliance with treatment (OR 13.17, 95%CI 3.31, 52.35).
Conclusions: The risk factors associated with complications in pediatric patients with heart disease admitted to inpatient care at Pattani Hospital included anemia, low body weight, Down syndrome, patients who had not yet had heart surgery, cardiomegaly and non-compliance with treatment.
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