Coagulation abnormalities in children with uncorrected congenital heart defects seen at a teaching hospital in a developing country
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Date
2022-07-20
Authors
Majiyagbe, O. O.
Akinsete, A. M.
Adeyemo, T. A.
Salako, A. O.
Ekure, E. N.
Okoromah, C. A. N.
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS
Abstract
Background
Coagulation abnormality is a significant complication and cause of mortality in children with uncorrected congenital heart defects (CHD). The aim of this study was to determine the prevalence of coagulation abnormalities and the associated factors in children with uncorrected CHD.
Method
A cross sectional study conducted to determine the prevalence of coagulation abnormalities among 70 children with uncorrected CHD aged six months to 17 years and 70 age and sex matched apparently healthy controls. Coagulation abnormalities was determined using complete blood count, prothrombin time, activated partial thromboplastin time and D-dimer assay.
Results
The prevalence of coagulation abnormalities among children with CHD and controls was 37.1% and 7.1% respectively. Children with Cyanotic CHD had a significantly higher prevalence of coagulation abnormalities compared to children with Acyanotic CHD (57.1% versus 17.1%). Haematocrit and oxygen saturation levels were significantly associated with coagulation abnormalities.
Conclusion
This study affirms that coagulation abnormalities are frequent in children with uncorrected CHD. Oxygen saturation and haematocrit are risk factors of coagulation abnormalities. Routine coagulation screen is recommended especially in children with cyanotic congenital heart defects to improve their quality of life and reduce morbidity and mortality while awaiting definitive surgeries.
Description
Scholarly article
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Citation
Majiyagbe, O. O., Akinsete, A. M., Adeyemo, T. A., Salako, A. O., Ekure, E. N., & Okoromah, C. A. N. (2022). Coagulation abnormalities in children with uncorrected congenital heart defects seen at a teaching hospital in a developing country. PloS one, 17(7), e0263948.