Pediatric cardiac surgery in low-and middle-income countries: Present status and need for a paradigm shift

John Santosh Kumar Murala, Tom R. Karl, A. Thomas Pezzella

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In low and mid-income countries, there has been a 50% global decrease in the incidence of preventable deaths of children since 1990. However, the mortality from non-communicable diseases (NCD) such as congenital heart disease (CHD) has not changed. Of the estimated 1.3 million children born with CHD annually, over 90% do not have access to cardiac care. With the increasing fertility rates in sub-Saharan Africa, the health burden of CHD will increase as well. Over the last 30 years much has been achieved with short term cardiac medical missions. However, much remains to be done to provide long term solutions needed to achieve the sustainable development goal of reducing deaths of children <5 years of age. This review discusses the present status and the need for a paradigm shift to achieve long term sustainability.

Original languageEnglish (US)
Article number214
JournalFrontiers in Pediatrics
Volume7
Issue numberJUN
DOIs
StatePublished - Jan 1 2019

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Thoracic Surgery
Heart Diseases
Pediatrics
Africa South of the Sahara
Birth Rate
Conservation of Natural Resources
Mortality
Incidence
Health

Keywords

  • Cardiac disease
  • Children
  • Congenital
  • Developing countries
  • Humanitarian medicine
  • Rheumatic heart disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Pediatric cardiac surgery in low-and middle-income countries : Present status and need for a paradigm shift. / Murala, John Santosh Kumar; Karl, Tom R.; Pezzella, A. Thomas.

In: Frontiers in Pediatrics, Vol. 7, No. JUN, 214, 01.01.2019.

Research output: Contribution to journalArticle

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