Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country

Background: Comparing the burden of cardiac diseases in children, the availability of pediatric cardiac care (PCC) services is very dismal in our country. Timely management not only decreases mortality but also relieves the immense economic and social burden associated with these diseases. Establish...

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Main Authors: Pradeep Kumar Jain, Vivek Kumar Athwani, Kuber Sharma, Nimish Rai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Heart India
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Online Access:https://journals.lww.com/10.4103/heartindia.heartindia_88_24
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author Pradeep Kumar Jain
Vivek Kumar Athwani
Kuber Sharma
Nimish Rai
author_facet Pradeep Kumar Jain
Vivek Kumar Athwani
Kuber Sharma
Nimish Rai
author_sort Pradeep Kumar Jain
collection DOAJ
description Background: Comparing the burden of cardiac diseases in children, the availability of pediatric cardiac care (PCC) services is very dismal in our country. Timely management not only decreases mortality but also relieves the immense economic and social burden associated with these diseases. Establishing a PCC center in a resource-limited area is very challenging. In this study, we shared the experience of the successful establishment of a public funded PCC center in Central India and outcome of various procedures performed. Materials and Methods: We retrospectively reviewed data of various pediatric cardiac procedures performed in our newly established center from January 2020 to January 2023. Patients’ demographic profile, clinical profile, investigations, procedures done, and their success/failure/complications were noted and described. We have addressed challenges and explored solutions relating to patient care. Results: A total of 2034 pediatric patients with cardiac lesions and adults with congenital heart defects were included. Out of total 211 procedures, 165 were percutaneous interventional procedures (38 diagnostic and 127 therapeutic) and the rest 46 were open heart surgeries. The success rate in diagnostic procedures was 100%, while in therapeutic percutaneous interventional procedure and open heart surgeries, success rate was 93% and 91.3%, respectively. Conclusion: Establishing a successful PCC center even in resource-limited areas like ours is possible by fulfilling some key requirements. The outcomes of various procedures performed at our center were comparable to other established PCC centers.
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spelling doaj-art-ca12bee5ac32471abcccdb7f92da638d2025-08-20T02:16:19ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2321-66382025-01-0113191410.4103/heartindia.heartindia_88_24Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income countryPradeep Kumar JainVivek Kumar AthwaniKuber SharmaNimish RaiBackground: Comparing the burden of cardiac diseases in children, the availability of pediatric cardiac care (PCC) services is very dismal in our country. Timely management not only decreases mortality but also relieves the immense economic and social burden associated with these diseases. Establishing a PCC center in a resource-limited area is very challenging. In this study, we shared the experience of the successful establishment of a public funded PCC center in Central India and outcome of various procedures performed. Materials and Methods: We retrospectively reviewed data of various pediatric cardiac procedures performed in our newly established center from January 2020 to January 2023. Patients’ demographic profile, clinical profile, investigations, procedures done, and their success/failure/complications were noted and described. We have addressed challenges and explored solutions relating to patient care. Results: A total of 2034 pediatric patients with cardiac lesions and adults with congenital heart defects were included. Out of total 211 procedures, 165 were percutaneous interventional procedures (38 diagnostic and 127 therapeutic) and the rest 46 were open heart surgeries. The success rate in diagnostic procedures was 100%, while in therapeutic percutaneous interventional procedure and open heart surgeries, success rate was 93% and 91.3%, respectively. Conclusion: Establishing a successful PCC center even in resource-limited areas like ours is possible by fulfilling some key requirements. The outcomes of various procedures performed at our center were comparable to other established PCC centers.https://journals.lww.com/10.4103/heartindia.heartindia_88_24interventionallower-middle income countrypediatric cardiac care
spellingShingle Pradeep Kumar Jain
Vivek Kumar Athwani
Kuber Sharma
Nimish Rai
Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country
Heart India
interventional
lower-middle income country
pediatric cardiac care
title Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country
title_full Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country
title_fullStr Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country
title_full_unstemmed Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country
title_short Initial 1000-day experience of newly established public-funded pediatric cardiac care centre in low-middle income country
title_sort initial 1000 day experience of newly established public funded pediatric cardiac care centre in low middle income country
topic interventional
lower-middle income country
pediatric cardiac care
url https://journals.lww.com/10.4103/heartindia.heartindia_88_24
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AT vivekkumarathwani initial1000dayexperienceofnewlyestablishedpublicfundedpediatriccardiaccarecentreinlowmiddleincomecountry
AT kubersharma initial1000dayexperienceofnewlyestablishedpublicfundedpediatriccardiaccarecentreinlowmiddleincomecountry
AT nimishrai initial1000dayexperienceofnewlyestablishedpublicfundedpediatriccardiaccarecentreinlowmiddleincomecountry