Iturriaga-Hernández AV

Language: English
References: 13
Page: 84-88
PDF size: 290.55 Kb.

ABSTRACT

In Mexico, there are a heterogenicity in the institutions of the National Health System. It is important to keep an effective interaction between them to achieve a good development in pediatric heart surgery in our country. We have 2 institutions for the integral treatment of the patient with congenital heart disease in Guanajuato; one of them is the Hospital de Alta Especialidad del Bajío (HRAEB) that offers specialized medical attention to the Bajío region. Objective. To show the experience of the HRAEB between 2007-2017. Material and Methods. Review of the hospital statistical department database, matching dates with the surgical unit database. Review of the clinical chart to gather all the included variables. Results. In this period, we had 1077 cardiac surgeries, in 1005 patients. An average of 97.9 surgeries per year. Most of the patients were from Guanajuato, with 856 children. Male patients were predominant with 51.2%, and for distribution of age the principal group was 1-5 years-old. The most frequent congenital heart disease is the ventricular septal defect (20.1%), persistent ductus arteriosus (17%), aortic coarctation (11.5%) and atrial septal defect (7.5%). These four heart diseases are included in the RACHS-1 scale from 1 to 3 categories. We had 193 patients with some cromosomopathy or any associated syndrome. Conclusions. We are an important reference center for treating children with cardiac heart disease, and we keep working to get more experience and reach the optimal surgical results for our patients. We hope to continue improving the objective of the regionalization in Mexico.

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