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Tobing, Tina CL.
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Physics Public Health

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Association between type of congenital heart disease with child growth and development status: A cross-sectional study in Medan, Indonesia Amelia, Putri; Yosephine, Astrid G.; Tobing, Tina CL.; Savira, Maya; Viandy , Vincent; Inglin, Mark
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.414

Abstract

Congenital heart disease (CHD) is a congenital disorder primarily affecting newborns and children. Children with CHD have a greater risk of experiencing growth delays or disorders compared to healthy children. CHD also affects various aspects of a child’s development. The aim of this study was to determine the association of CHD types (cyanotic and acyanotic) with the growth and development status of children. A cross-sectional study was conducted among CHD patients at a national reference hospital in Sumatra, H. Adam Malik General Hospital in Medan, Indonesia. The children's growth status was assessed using the WHO growth chart, and the developmental condition was evaluated through the Denver Developmental Screening Test-II. Chi-squared test and Fisher’s exact test were used to assess the association between the type of CHD with growth and development status in children. Using a consecutive sampling method, a total of 53 individuals were included in this study. Almost half of CHD patients (48.1%) were within the age group of 0–2 years and more than half (61.1%) were girls. Acyanotic CHD (74.1%) was more prevalent than cyanotic CHD (25.9%), with ventricular septum defect (VSD) as the most common diagnosis. A total of 37% of children with CHD suffered from malnutrition, whereas the remaining 62.9% had good nutrition. The Denver Developmental Screening Test-II indicated that 81.4% of the children were normal, whereas 18.5% had developmental disorders. Our data suggested a significant association between cyanotic CHD and poor growth status in children based on weight-for-age, weight-for-length, and body mass index (BMI)-for-age. However, there was no association between the type of CHD and developmental status in children. This study highlights that the type of CHD is significantly associated with the growth status of children, but not with their developmental status.
Factors associated with clinical outcomes among children with delayed diagnosis of critical congenital heart disease: A cross-sectional study Fachrozi, Muhammad R.; Adriansyah, Rizky; Pratita, Winra; Wahyuni, Arlinda S.; Tobing, Tina CL.; Trisnawati, Yunnie
Narra X Vol. 3 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i2.191

Abstract

Delayed detection of critical congenital heart disease (CHD) is associated with increased morbidity and mortality. Currently, there is a paucity of data on children with critical CHD in Indonesia. The aim of this study was to investigate the factors contributing to delayed diagnosis of critical CHD and its association with clinical outcomes such as mortality, heart failure, intensive care unit (ICU) admission, and ventilator use. A cross-sectional study was conducted using medical records from Haji Adam Malik Medan General Hospital. The study included all children aged 0 to 18 years diagnosed with critical CHD. The statistical analysis was performed by utilizing SPSS version 25.0. A total of 59 subjects were analyzed. The findings revealed a significant relationship between factors such as age, sex, respiratory tract infections, type of CHD, surgical interventions, and underlying syndromic abnormalities with various clinical outcomes. Delayed diagnosis of critical CHD was associated with increased mortality, heart failure, ICU admission, and ventilator use, with these outcomes influenced by the aforementioned factors.
Co-Authors Amelia, Putri Fachrozi, Muhammad R. Inglin, Mark Maya Savira Rizky Adriansyah Viandy , Vincent Wahyuni, Arlinda S. Winra Pratita, Winra Yosephine, Astrid G. Yunnie Trisnawati, Yunnie