ORGANIZATION OF MEDICAL CARE FOR PATIENTS WITH CONGENITAL HEART DEFECTS
DOI:
https://doi.org/10.54890/.v1i1.888Abstract
The present study was conducted in the consultative and diagnostic department of the Research Institute of Heart Surgery and Organ Transplantation.
The design of the study included two stages: at the first stage, a cohort examination of schoolage children and adolescents in Bishkek was conducted (2,410 children and adolescents from 7 to 18 years were examined on the basis of the Family medicine Center No. 3), at the second stage, a prospective dynamic observation was carried out with the analysis of clinical and functional indicators of 140 patients with congenital heart defects before and after surgical correction at the age of 8 months to 50 years, and a retrospective study of outpatient charts was conducted to clarify the structure of congenital heart defects. Then recommendations were formed to improve the organization of medical care for patients with congenital heart defects.
The purpose of the study: to develop an organizational model for improving the process of diagnosing patients with congenital heart defects. By the method of organizational modeling ("Organizational model of improving the diagnostic process"), algorithms for the diagnosis of congenital heart defects have been developed, whichare the basis for early detection of defects, monitoring of patients and prevention of complications.
Keywords:
congenital heart defects, organizational modeling, monitoring, cardiac surgical care.References
1. Meller CH, Grinenco S, Aiello H, Córdoba A, Sáenz-Tejeira MM, Marantz P. et al. Congenital heart disease, prenatal diagnosis and management. Arch Argent Pediatr. 2020; 118(2): e149-e161. http://dx.doi.org/10.5546/aap.2020.eng.e149
2. Williams K, Carson J, Lo C. Genetics of Congenital Heart Disease. Biomolecules. 2019;9:n.pag. http://dx.doi.org/10.3390/biom9120879
3. Rohit M, Rajan P. Approach to Cyanotic Congenital Heart Disease in Children. Indian J Pediatr. 2020; 87(5): 372-380. http://dx.doi.org/10.1007/s12098-020-03274-3
4. Bouma BJ, Mulder BJ. Changing Landscape of Congenital Heart Disease. Circ Res. 2017; 120: 908-922. https://doi.org/10.1161/CIRCRESAHA.116. 309302
5. Mutluer FO, Çeliker A. General Concepts in Adult Congenital Heart Disease. Balkan Med J. 2018; 35(1): 18-29. https://doi.org/10.4274/balkanmedj.2017.0910