Magnitude of Early Postoperative Arrhythmias after Cardiac Surgery in Children at the Cardiac Center-Ethiopia, Ethiopia
| dc.contributor.advisor | Moges, Tamirat (Associate Professor of Pediatrics and Pediatric Cardiology) | |
| dc.contributor.author | Fesseha, Bezamariam | |
| dc.date.accessioned | 2022-02-06T06:25:25Z | |
| dc.date.accessioned | 2023-11-05T09:33:54Z | |
| dc.date.available | 2022-02-06T06:25:25Z | |
| dc.date.available | 2023-11-05T09:33:54Z | |
| dc.date.issued | 2021-11 | |
| dc.description.abstract | Background: Early postoperative arrhythmias are a widely recognized complication of cardiothoracic surgery in the pediatric populations with CHDs. They have potentially grave consequences, particularly if they are not managed promptly. However, there remains lack of information in Ethiopian setting regarding postoperative cardiac rhythm disturbances although cardiothoracic surgeries have been performed since recently. Objective: To assess the magnitude of early postoperative arrhythmia and its associated factors among CHD patients who underwent cardiac surgery at the Cardiac Center-Ethiopia, Addis Ababa, Ethiopia from January 1 st , 2018 to December 31 st , 2020. Methodology: A facility-based, cross-sectional study was conducted at Cardiac CenterEthiopia, Addis Ababa. Data was collected using a structured checklist, and then entered and analyzed using SPSS version 26. Descriptive analysis along with chi square test and Student t test analyses were employed to identify factors associated with development of arrhythmia. A p-value <0.05 was considered significant. Tables and figures were used to present the results. Results: The study evaluated medical records of 202 pediatric CHD patients who underwent cardiothoracic surgery. Their age ranged from 1 month to 14 years, and of all, females represented 54.5% (110). Arrhythmia was documented in 16 (7.9%) of the patients, and junctional ectopic tachycardia was the most common form of arrhythmia (43.8%). Statistically significant difference between the arrhythmic and non-arrhythmic group were noted in relation to cardiopulmonary bypass time (132.87 vs. 84.63mins) and aortic clamping time (89.47 vs. 51.40 mins), with p value <0.05. Chi square test showed that cyanotic CHDs and patients with TOF are at higher risk of developing post-surgery arrhythmia. Conclusion: Early postoperative arrhythmias following surgery for congenital heart disease are not uncommon in the paediatric population. Longer ischemic time, bypass time, cyanotic heart diseases and presence of TOF were all risk factors that increased the incidence of postoperative arrhythmias. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/29922 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Postoperative Arrhythmias,Cardiac Surgery,Children | en_US |
| dc.title | Magnitude of Early Postoperative Arrhythmias after Cardiac Surgery in Children at the Cardiac Center-Ethiopia, Ethiopia | en_US |
| dc.type | Thesis | en_US |