ArticleBMC pediatrics2021
Delayed diagnosis in children with congenital heart disease: a mixed-method study.
Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pulse oximetry test for screening congenital heart diseases: a systematic review.Revista da Escola de Enfermagem da U S P · 2024Pooled it
- [Diagnosis of congenital heart disease using Deep Learning in pediatric chest X-rays: A proof of concept].Revista medica del Instituto Mexicano del Seguro Social · 2026Article
- Parental knowledge, awareness, and intended healthcare-seeking responses toward congenital heart disease in the West Bank, Palestine: a cross-sectional study.BMC public health · 2026Article
- Congenital heart disease in children in Hawassa, Ethiopia: a multicenter study on patterns, complications, survival, and mortality predictors.BMC cardiovascular disorders · 2026Article
- Automated Echocardiographic Detection of Congenital Heart Disease Using Artificial Intelligence.Circulation · 2026Article
- Mapping the Biopsychosocial and Lifestyle Portrait of Adults With Congenital Heart Disease: A Comparative Study Across Sex and Age.CJC pediatric and congenital heart disease · 2026Article
- Right ventricular outflow tract stenting for obstructive lesions in adult congenital heart disease.International journal of cardiology. Congenital heart disease · 2026Article
- First-time detection of treatable congenital heart disease - a study of school-aged children in the community of three regions in China.BMC public health · 2026Article
- Automated Echocardiographic Detection of Congenital Heart Disease Using Artificial Intelligence.medRxiv : the preprint server for health sciences · 2026Article
- Delayed diagnosis of congenital heart diseases and associated factors in the largest tertiary hospital in Ethiopia.Cardiovascular diagnosis and therapy · 2025Article
- Polycythemia and its determinants among children with unoperated cyanotic congenital heart disease at Tikur Anbessa specialized hospital, Ethiopia: observational cross-sectional study.BMC pediatrics · 2025Observational
- Development of pediatric cardiac surgery in Indonesia-a thousand islands and a handful of centers.Indian journal of thoracic and cardiovascular surgery · 2025Review
- Missed or Delayed Diagnosis of Heart Disease by the General Pediatrician.Children (Basel, Switzerland) · 2025Review
- Descriptive analysis of colour Doppler echocardiography results in neonates with congenital heart disease in eastern China: a retrospective cohort study.Frontiers in pediatrics · 2025Article
- An insight into Indonesia's progress for newborn screening program: What is currently going on.Heliyon · 2024Article
- Interventional Management of a Rare Case of Complex Congenital Heart Disease in an Adult Patient: A Case Report.The journal of Tehran Heart Center · 2024Article
- Ductal stenting vs. surgical shunting in late presenting duct-dependent pulmonary circulation: a single-center experience.Frontiers in cardiovascular medicine · 2024Article
- Right ventricular outflow tract stenting for late presenter unrepaired Fallot physiology: a single-center experience.Frontiers in cardiovascular medicine · 2024Article
- Clinical outcomes of right ventricular outflow tract stenting compared to surgical shunting in late-presenting children.Frontiers in cardiovascular medicine · 2024Article
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Authors and funding
7 authors.
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Abstract
backgroundDelayed diagnosis of congenital heart disease (CHD) causes significant morbidity and mortality. We aimed to determine the proportion of delayed diagnosis of CHD and factors related to the delayed diagnosis.
methodsA prospective cohort study with mixed-methods was conducted in Dr. Sardjito Hospital, Yogyakarta, Indonesia. Patients aged < 18 years with newly diagnosed CHD and echocardiography confirmed CHD were included. Data were recorded from medical records and interviews from direct caregivers. Logistic regression was used to identify independent factors associated with the delay.
resultsA total of 838 patients were included with median age of 2.9 years (0-17.7 years), with female predominance (54.2%, n = 454). The proportions of delayed diagnosis were 60.8% (510), 54.9% (373) and 86.2% (137) in all children with CHD, acyanotic and cyanotic CHD, respectively. Delayed diagnosis by doctor was the most common cause, followed by delayed diagnosis related to midwifery care, financial, referral/follow-up, and social factors. In multivariate analysis, cyanotic CHD, residence outside the city, non-syndromic, low family income, normal labour and at term gestation at birth were independently associated with the delay. At diagnosis, heart failure and pulmonary hypertension occurred in 414 (49.4%) and 132 (15.8%) children with CHD, respectively.
conclusionsSix in ten children with CHD were diagnosed with significant delay. Delayed diagnosis by doctor was the most common cause. Children with cyanotic CHD, residence outside the city, non-syndromic, low family income, normal labour and at term gestation at birth were independently associated with the delay. Comorbid complications in delayed diagnosis of CHD were prevalent.
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