Incidencia de cardiopatías congénitas en adultos en el Hospital José Carrasco Arteaga, Cuenca 2015-marzo 2020

Abstract

Background: annually a considerable number of congenital heart diseases are diagnosed in adults, which due to the evolution of several years, their repercussions are greater, both economically, socially and in lifestyle, causing loss of economic and human resources. General objective: to determine the incidence of congenital heart diseases in adults at the José Carrasco Arteaga Hospital in the period 2015 to March 2020. Methodology: the study is descriptive and retrospective of incidence in the period 2015 to March 2020, the study area was the José Carrasco Arteaga Hospital. The universe was made up of patients diagnosed with a congenital heart disease at 18 years of age or older. The information was collected from the AS400 program of the José Carrasco Arteaga Hospital by means of a form, it was registered in Excel and analyzed in the Epi Info 7.2.2.6 program, the results were presented by incidence, frequency, percentage, mean and standard deviation. The research was developed after the approval of the Bioethics Committee. Results: among 219,897 adult patients treated in the hospital, 227 were diagnosed with congenital heart disease, giving an incidence of 0.1%, 84.1% were acyanotic, with atrial septal defect being more frequent with 41.8% of cases. A 58.6% were women, the mean age of diagnosis was 48.5 ± 18.7 years and 74% were hospitalized. Conclusions: atrial septal defect was the most frequently diagnosed congenital heart disease in adults, followed by aortic stenosis; in a quarter of the population the diagnosis was incidental. Actions must be taken to determine the true impact on the population.