Prevalence of Iron Deficiency and Iron Supplementation Practices among Uncorrected Cyanotic Congenital Heart Disease Patients and its Associated Factors at the Pediatrics Cardiac Clinic of Tikur Anbessa Specialized Hospital; Hospital based Cross-Sectional Study
| dc.contributor.advisor | Ahmed Hayat | |
| dc.contributor.advisor | Hailu Daniel | |
| dc.contributor.author | Manie Yibeltal | |
| dc.date.accessioned | 2026-01-30T11:35:47Z | |
| dc.date.available | 2026-01-30T11:35:47Z | |
| dc.date.issued | 2025-06-19 | |
| dc.description.abstract | Background: Congenital heart disease (CHD) refers to a significant structural defect in the heart or major blood vessels within the chest that affects how the heart functions. According to EUROCAT registries, CHD affected approximately 8 out of every 1,000 births in Europe between 2000 and 2005, with cyanotic congenital heart disease (CCHD) making up 25% of cases. CCHD is characterized by the right-to-left shunting of desaturated blood, leading to decreased oxygen saturation in the systemic circulation. A common but often overlooked complication in children with CCHD is iron deficiency (ID), which can go undetected due to misleading high hemoglobin levels that mask the condition. Methods: A Hospital based cross-sectional study was carried out at the pediatric cardiac clinic of Tikur Anbessa Specialized Hospital in Addis Ababa. Children attending follow-up visits was randomly selected using a simple random sampling method. Data was gathered through structured questionnaires. The collected data was analyzed using Statistical Package for Social Sciences (SPSS) version 25, focusing on descriptive and analytical statistics. Associations between variables was considered statistically significant when the p-value is less than 0.05 Result: Among the 206 patients included in the study, the prevalence of iron deficiency, as determined by MCV and RDW, was 58.7%. Additionally, the prevalence of anemia among uncorrected CCHD patients, defined by a hemoglobin level of less than 15 g/dl, was 35%.The presence of polycythemia was identified as a statistically significant association with iron deficiency.Regarding iron supplementation, 38.8% of CCHD patients did not receive any iron therapy. Among those diagnosed with iron deficiency, 28.1% were not given iron treatment, 33% Consclusion: This study identified a high prevalence of iron deficiency (58.7%) among uncorrected CCHD patients attending follow-up visits at the pediatric cardiac clinic at TASH. The presence of polycythemia was identified as a stastically significant associated factor with iron deficiency . Additionally, iron supplementation practices for those patients were found to be inadequate and sub-optimalreceived therapy at a sub-optimal dose . | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/7605 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Iron Deficiency and Iron Supplementation Practices | |
| dc.title | Prevalence of Iron Deficiency and Iron Supplementation Practices among Uncorrected Cyanotic Congenital Heart Disease Patients and its Associated Factors at the Pediatrics Cardiac Clinic of Tikur Anbessa Specialized Hospital; Hospital based Cross-Sectional Study | |
| dc.type | Thesis |