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2006, Number 3

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Arch Cardiol Mex 2006; 76 (3)

Prevalence of congenital heart disease in 44,985 newborns in Colombia

Baltaxe E, Zarante I

Language: Spanish
References: 19
Page: 263-268
PDF size: 94.00 Kb.


ABSTRACT

Objective: To estimate the prevalence of congenital heart defects in Colombia using the methodology of the Latin-American Collaborative Study of Congenital Malformations (ECLAMC, for its initials in Spanish) and to make an epidemiological description of the study population. Material and methods: A prospective case-control study nested to a hospital-based cohort included 44,985 infants born from June 1, 2001 to April 30, 2005 in 11 Colombian hospitals. Results: Fifty-five cases were reported (1.2 per 1,000); 36 (65.5%) corresponded to severe defects and 18 (32.7%) had associated extracardiac malformations. The following risk factors were identified: maternal age ≥ 40 years, paternal age ≥ 30 years, gestational age ≤ 37 weeks, birth weight ≤ 3,000 g and ≥ 3 pregnancies. Conclusions: This study shows a similar prevalence of congenital heart disease to that found in Spain, Mexico, and South America. Risk factors identified emphasize the need for public health policies in a developing country undergoing an epidemiological transition.


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