THE COMPLEX ASSESSMENT OF THE HEALTH STATUS OF CHILDREN DURING THE FIRST YEAR OF LIFE WITH CONGENITAL HEART DISEASE

Abstract

In article we demonstrated the results of the complex assessment of the health status of children during the first year of life with congenital heart defects (CHD). We established a connection between the problems of obstetric history (miscarriage, abortion) and an increased risk of developing severe heart defects. In the group of children with CHD who required surgery for 1 year of life and who have mothers with obstetric history problems, the severity of the CHD in 55% [95% Cl 44,7÷65,0] of children was related to the impact of obstetric history problems on their mothers. We found out that the majority of children with CHD had low body weight by the end of 1 year of life. In the group of operated children, we found a significant increase in the proportion of children with a sharply disharmonious physical development due to a deficit in body weight. We identified that children with CHD requiring surgery for 1 year of life have a high risk of respiratory infections (ОR = 4,67 95% Cl [1,19 ÷ 18,35]). In addition, we found a positive relationship between the respiratory incidence and the degree of heart failure in children with CHD (r = 0,492, p<0,05). The data has been demonstrated the severity of hemodynamic disorders at CHD requiring surgical correction at an early age. The results of a comprehensive assessment of children’s health are important for developing algorithms for monitoring children with CHD in a pediatric outpatient clinic.