ReviewIndian journal of thoracic and cardiovascular surgery2025
Late presentation of congenital heart diseases in low- and middle-income countries: impact on outcomes.
Review in Indian journal of thoracic and cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Article
- Delayed Diagnosis of Congenital Heart Diseases in Adults: Opportunities for Improving Diagnostic Strategies.Journal of cardiovascular development and disease · 2026Review
- Neonatal Cardiac Surgery in India: Current Status and Outcomes.Indian journal of pediatrics · 2026Review
- Challenges Faced by Healthcare Professionals in Screening Newborns for Congenital Heart Defects in Pakistan.International journal of neonatal screening · 2025Article
- Trends and predictors of mortality among children and adolescents with congenital heart disease in Ethiopia: A retrospective follow-up study.Annals of pediatric cardiologyArticle
- Congenital cardiac surgery: Innovations from India.Annals of pediatric cardiologyReview
- Timing of transfer to a tertiary care center and early surgical outcome of obstructed total anomalous pulmonary venous connection in resource-limited settings.Annals of pediatric cardiologyArticle
- The geography of congenital heart disease care: Is the world flat?Annals of pediatric cardiologyArticle
- Arterial switch operation after left ventricular retraining with ductal stent: Our experience.Annals of pediatric cardiologyArticle
- Looking beyond survival in congenital heart diseases: Are we there yet?Annals of pediatric cardiologyArticle
- Beyond case reports: Moving toward high-quality, practice-changing, contextual research in congenital heart disease.Annals of pediatric cardiologyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In low- and middle-income countries (LMICs), the delayed detection and presentation of congenital heart defects (CHDs) present significant hurdles, including challenges in assessing operability, unique surgical complexities during operations, and difficulties in post-operative care. Factors contributing to late detection include delayed diagnosis and referrals, limited healthcare resources, geographic barriers to specialized care, and lack of awareness leading to inappropriate medical advice. This narrative review discusses these challenges and how late presentation affects outcomes of CHDs in LMICs. A thorough assessment of operability tailored to each specific CHD, effective intraoperative strategies, and comprehensive post-operative care are crucial for achieving favourable outcomes. Current literature indicates that surgery for late-detected CHDs in LMICs can yield satisfactory results. Proper selection and management of this patient subgroup can mitigate the impact of late detection on outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.