SOSIALISASI DETEKSI DINI PENYAKIT JANTUNG BAWAAN PADA ANAK DI RSUD KABUPATEN KEDIRI
DOI:
https://doi.org/10.29303/abdiinsani.v11i3.1964Keywords:
ekokardiografi, Penyakit jantung bawaan, pulse oximetry, Pengabdian Kepada MasyarakatAbstract
Congenital Heart Disease (CHD) occurs in 6 to 8 out of every 1,000 live births. CHD is one of the most common congenital anomalies, with a mortality rate of up to 25% in the first year of life. CHD is a structural and functional abnormalities that develop during embryogenesis. Delayed diagnosis of CHD leads to increased morbidity and mortality. A community service activity was conducted in Kediri, East Java, to raise awareness among medical personnel about early detection of CHD, followed by examinations using pulse oximetry and echocardiography. The education method included seminars and training sessions covering early detection, diagnosis, and management of CHD. The examinations were performed by pediatric cardiology consultants. Pre-test and post-test evaluations were conducted to assess the knowledge level of medical personnel. The activity involved 100 participants, including specialists, general practitioners, midwives, and nurses. The average pre-test score was 58.57/100, with 7 participants achieving a perfect score. By the end of the training, the average post-test score increased to 72.06/100, with 25 participants obtaining perfect scores. A total of 27 children underwent echocardiography; 20 were diagnosed with acyanotic CHD, 2 with cyanotic CHD, and 5 were normal. In the pulse oximetry examinations, all infants had oxygen saturation levels of 95% or higher, with no difference greater than 3% between pre- and post-ductal locations. The conclusion is that education through seminars and training can improve medical personnel's knowledge of early detection of CHD in children.
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Agarwal, R., Saxena, A., & Ramakrishnan, S. (2023). Echocardiographic evaluation of congenital heart disease: A retrospective analysis. Indian Heart Journal, 75(2), 131-140. https://doi.org/10.1016/j.ihj.2023.02.005.
Bernier, P. L., Stefanescu, A., Samoukovic, G., & Tchervenkov, C. I. (2019). The challenge of congenital heart disease worldwide: Epidemiologic and demographic facts. Seminars in Thoracic and Cardiovascular Surgery, 31(3), 593-599. https://doi.org/10.1053/j.semtcvs.2019.03.020
Brown, M. L., DiNardo, J. A., & Nasr, V. G. (2020). Anesthesia in pediatric patients with congenital heart disease undergoing noncardiac surgery: Defining the risk. Journal of Cardiothoracic and Vascular Anesthesia, 34(2), 470–478. https://doi.org/10.1053/j.jvca.2019.06.015
Darwanty, J., Yulifah, R., Astutik, H., Rosmalawati, N., Yuliani, I., & Dumilah, R. (2024). Literature Review: Sensitivitas Oksimetri Nadi dalam Mengenali Gejala Penyakit Jantung Bawaan Kritis. Jurnal Media Penelitian Dan Pengembangan Kesehatan, 34(2). https://jurnal.polkesban.ac.id/index.php/jmp2k/article/view/2011/1128
Darwis, I., & Perdani, R. (2021). Peningkatan Pengetahuan Tenaga Kesehatan Mengenai Penyakit Corona Virus Disease (COVID) 19 pada Pasien Dewasa. Jurnal Pengabdian Masyarakat Ruwa Jurai.http://repository.lppm.unila.ac.id/26682/1/Jurnal%20JPM%20Ganjil%202020-2021.pdf
Diao, J., Chen, L., Wei, J., Shu, J., Li, Y., Li, J., Zhang, S., Wang, T., & Qin, J. (2022). Prevalence of Malnutrition in Children with Congenital Heart Disease: A Systematic Review and Meta-Analysis. The Journal of Pediatrics, 242, 39-47.e4. https://doi.org/10.1016/j.jpeds.2021.10.065
Ewer, A. K., Middleton, L. J., Furmston, A. T., Bhoyar, A., Davis, A., & Olusanya, O. (2021). Pulse oximetry screening for critical congenital heart defects in newborn infants: Cochrane systematic review and meta-analysis. British Medical Journal, 372(1), 126-134. https://doi.org/10.1136/bmj.m5263
Franklin, O., Burch, M., Joffe, H., Peart, I., Gibbs, J. L., & Blackburn, M. E. (2018). Mortality and morbidity after surgery for congenital heart disease in children in England. The Lancet, 392(10152), 1119-1127. https://doi.org/10.1016/S0140-6736(18)31398-9
Gelb, B. D., & Chung, W. K. (2021). Complex genetics and the etiology of congenital heart disease. Cold Spring Harbor Perspectives in Medicine, 11(1), a035790. https://doi.org/10.1101/cshperspect.a035790
Hoffman, J. L., Eastman, K., & Cromwell, C. (2019). Outcomes of critical congenital heart disease in newborns after pulse oximetry screening: A multicenter study. Journal of Pediatrics, 214, 183-190. https://doi.org/10.1016/j.jpeds.2019.06.049
Hoffman, J. I. E. (2017). The global burden of congenital heart disease. Cardiovascular Journal of Africa, 28(2), 65-72. https://doi.org/10.5830/CVJA-2017-027
Judistiani, T. D. (2023). Peningkatan Pengetahuan Tuberkulosis Kehamilan dan Perinatal di Kalangan Tenaga Kesehatan. Jurnal Abdimas Kartika Wijayakusuma, 4(1). https://doi.org/10.26874/jakw.v4i1.301
Khairy, P., Silka, M. J., Moore, J. P., DiNardo, J. A., Vehmeijer, J. T., Sheppard, M. N., Van De Bruaene, A., Chaix, M., Brida, M., Moore, B. M., Shah, M. J., Mondésert, B., Balaji, S., Gatzoulis, M. A., & Ladouceur, M. (2022). Sudden cardiac death in congenital heart disease. European Heart Journal, 43(22), 2103–2115. https://doi.org/10.1093/eurheartj/ehac104
Khalil, M., Jux, C., Rueblinger, L., Behrje, J., Esmaeili, A., & Schranz, D. (2019). Acute therapy of newborns with critical congenital heart disease. Translational Pediatrics, 8(2), 114–126. https://doi.org/10.21037/tp.2019.04.06
Khan, A., Saleem, M., & Asghar, R. (2023). Echocardiographic screening for congenital heart disease in low-resource settings: Opportunities and challenges. Cardiology in the Young, 33(2), 228-235. https://doi.org/10.1017/S1047951123000057
Lang, R. M., Badano, L. P., Mor-Avi, V., Afilalo, J., Armstrong, A., & Ernande, L. (2018). Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography, 31(5), 401-439. https://doi.org/10.1016/j.echo.2018.01.007
Lang, R. M., Badano, L. P., Mor-Avi, V., Afilalo, J., Armstrong, A., & Ernande, L. (2020). Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update From the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography, 33(5), 401-439. https://doi.org/10.1016/j.echo.2020.01.007
Luca, A., Miron, I. C., Mîndru, D. E., Curpăn, A. Ș., Stan, R. C., Țarcă, E., Luca, F., & Pădureț, A. I. (2022). Optimal Nutrition Parameters for Neonates and Infants with Congenital Heart Disease. Nutrients, 14(8), 1671. https://doi.org/10.3390/nu14081671
Mahle, W. T., Newburger, J. W., Matherne, G. P., Smith, F. C., Hoke, T. R., Koppel, R., ... & Gidding, S. S. (2020). Role of Pulse Oximetry in Examining Newborns for Congenital Heart Disease: An Updated Scientific Statement From the American Heart Association and American Academy of Pediatrics. Circulation, 142(6), e125-e137. https://doi.org/10.1161/CIR.0000000000000803
McIntyre, A., Lindeman, C., & Bernales, M. (2018). Barriers and Facilitators perceived by the health team for the implementation of pre and post ductal saturometry as a method of detection of congenital heart diseases in newborns, prior to discharge. Revista Chilena De Pediatria. https://doi.org/10.4067/S0370-41062018005000405
McMahon, C. J., Pignatelli, R. H., & Campbell, M. J. (2021). Echocardiographic Assessment of Congenital heart Disease. Progress in Pediatric Cardiology, 62, 101344. https://doi.org/10.1016/j.ppedcard.2021.101344
Mendoza, L., Patel, N. D., & Sharma, S. (2024). Improving Access to Pediatric Echocardiography in Resource-Limited Settings: A Global Health Perspective. Pediatric Cardiology, 45(1), 33-42. https://doi.org/10.1007/s00246-024-03155-0
Miranda, L., Hartmann, K. E., Jonas, D. E., & Mistry, K. (2023). Pulse Oximetry Screening for Congenital heart defects: Barriers and Opportunities in Low-Income Settings. Pediatric Cardiology, 44(4), 861-869. https://doi.org/10.1007/s00246-023-03055-5
Murni, I. K., Wibowo, T., Arafuri, N., Oktaria, V., Dinarti, L. K., Panditatwa, D., Patmasari, L., Noormanto, N., & Nugroho, S. (2022). Feasibility of Screening for Critical Congenital Heart Disease Using Pulse Oximetry in Indonesia. BMC Pediatrics, 22(1). https://doi.org/10.1186/s12887-022-03404-0
Oster, M. E., Aucott, S., Glidewell, J., Kochilas, L., Martin, G. R., & Fenton, S. (2020). Implementing newborn screening for critical congenital heart disease: Update on progress and future directions. Journal of the American Heart Association, 9(16), e016568. https://doi.org/10.1161/JAHA.120.016568
Ottaviani, G., & Buja, L. M. (2022b). Congenital heart disease: pathology, natural history, and interventions. In Elsevier eBooks(pp. 223–264). https://doi.org/10.1016/b978-0-12-822224-9.00011-6
Patel, A., Brar, R., & Chauhan, S. (2021). Current status and future trends in pediatric echocardiography. Journal of Cardiovascular Imaging, 27(1), 19-28. https://doi.org/10.4250/jcvi.2021.27.e4
Peyvandi, S., Baer, R. J., Chambers, C. D., Norton, M. E., Rajagopal, S., Ryckman, K. K., Moon‐Grady, A., Jelliffe‐Pawlowski, L. L., & Steurer, M. A. (2020). Environmental and socioeconomic factors influence the Live‐Born incidence of congenital heart disease: a Population‐Based study in California. Journal of the American Heart Association, 9(8). https://doi.org/10.1161/jaha.119.015255
Rheuban, K. S., & Alverson, D. C. (2018). Telemedicine: Opportunities and developments in member states. World Health Organization.
Riede, F. T., Valentin, A., Zeilinger, G., & Malke, L. (2020). Screening for critical congenital heart disease in newborns: A multi-country perspective. International Journal of Neonatal Screening, 6(4), 78-89. https://doi.org/10.3390/ijns6040078
Saluja, S., Jain, V., & Kumar, A. (2021). Role of echocardiography in the early diagnosis of congenital heart defects: A clinical perspective. World Journal of Pediatric and Congenital Heart Surgery, 12(6), 785-791. https://doi.org/10.1177/21501351211023912
Saxena, A., Mehta, A., Sharma, M., Salhan, S., Kalaivani, M., Ramakrishnan, S., & Juneja, R. (2016). Birth prevalence of congenital heart disease: A cross-sectional observational study from North India. Annals of Pediatric Cardiology, 9(3), 205. https://doi.org/10.4103/0974-2069.189122
Setyowati, S., Yuniarti, A. R., & Yulianto, S. (2020). Epidemiologi penyakit jantung bawaan pada anak di Indonesia. Jurnal Kesehatan Anak, 5(2), 98-104.
Soriano, B. D., Hoch, M., Pasquali, S. K., & Wallace, B. (2022). Echocardiography in pediatric and congenital heart disease: From basics to advanced imaging. Progress in Cardiovascular Diseases, 72, 105-115. https://doi.org/10.1016/j.pcad.2022.02.004
Stout, K. K., Broberg, C. S., Book, W. M., Cecchin, F., Chen, J. M., Dimopoulos, K., Everitt, M. D., Gatzoulis, M., Harris, L., Hsu, D. T., Kuvin, J. T., Law, Y., Martin, C. M., Murphy, A. M., Ross, H. J., Singh, G., & Spray, T. L. (2016). Chronic heart failure in congenital heart disease. Circulation, 133(8), 770–801. https://doi.org/10.1161/cir.0000000000000352
Sun, P., Ding, G., Zhang, M., He, S., Gao, Y., & Wang, J. (2017). Prevalence of Congenital Heart Disease among Infants from 2012 to 2014 in Langfang, China. Chinese Medical Journal, 130(9), 1069–1073. https://doi.org/10.4103/0366-6999.204923
Susanto, A., Andayani, A., & Fitriana, N. (2022). Challenges in the use of echocardiography for pediatric heart disease in Indonesia: A regional perspective. Jurnal Kardiologi Anak Indonesia, 5(2), 98-106. https://doi.org/10.20473/jkai.v5i2.2022.98-106
Townsley, M. M., Windsor, J., Briston, D., Alegria, J., & Ramakrishna, H. (2019). Tetralogy of Fallot: Perioperative management and analysis of outcomes. Journal of Cardiothoracic and Vascular Anesthesia, 33(2), 556–565. https://doi.org/10.1053/j.jvca.2018.03.035
Upadhyay, J., Tiwari, N., Rana, M., Rana, A., Durgapal, S., & Bisht, S. (2019). Pathophysiology, etiology, and recent advancement in the treatment of congenital heart disease. Journal of Indian College of Cardiology, 9(2), 67. https://doi.org/10.4103/jicc.jicc_11_19
Wang, T., Chen, L., Yang, T., Huang, P., Wang, L., Zhao, L., Zhang, S., Ye, Z., Chen, L., Zheng, Z., & Qin, J. (2019). Congenital heart Disease and Risk of Cardiovascular Disease: A Meta‐Analysis of Cohort Studies. Journal of the American Heart Association, 8(10). https://doi.org/10.1161/jaha.119.012030
Zhao, Q., Liu, F., Wu, L., Ma, X., Niu, C., & Huang, G. (2019). Prevalence of congenital heart disease at live birth in China. The Journal of Pediatrics, 204, 53–58. https://doi.org/10.1016/j.jpeds.2018.08.040.