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509 Prevalence of Sideropenic Anemia in Children with Congenital Heart Disease Less than One Year in Comparison with Health Children
  1. R Bejiqi1,
  2. R Retkoceri1,
  3. N Zeka1,
  4. H Bejiqi2,
  5. A Retkoceri2,
  6. A Gerguri1,
  7. S Surdulli2
  1. 1Pediatric Clinic, University Clinical Center of Kosova, Prishtina
  2. 2Main Center of Family Medicine, Prishitna, Kosovo

Abstract

Introduction Syderopenic anemia is prevalent in all children with congenital heart disease, especially in children with signs of heart failure.

Objectives The purpose of this study is to determine the prevalence of sideropenic anemia in children with CHD and compares these results with data of health children less than one year in Kosova population.

Methodology Between 2000 and 2010 4236 children were evaluated retrospectively clinically and by echocardiography for congestive heart failure (CHF) caused by CHD. CHD was diagnosed in 832 patients (19.6%) while 78 patients (1.84%). Also from the study have been exclude children with complex CHD caused central cyanosis. In all patients were analyzed heart failure symptoms, hemoglobin levels, age of diagnosis, duration of hospitalization per year and death during medical attendance.

Results Anemia was present in 78% of children with CHD, and in 85% children with CHF. Hospitalization days per year in anemic patients had a significantly higher than in non-anemic patients (mean 32.5±39.6 days per year versus 12.3±14.3 days per year (p < 0.05). There was not found significant relation onset of heart failure symptoms and the risk of developing anemia between anemic and non-anemic patients. The evaluation showed also needed for the two times longer period of the treatment of patients with CHD with antianemic medication in compare with healthy anemic children.

Conclusion Anemia is prevalent in pediatric patients with CHD especially patients with heart failure. Study showed no higher mortality in anemic patients.

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