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Pediatric Cardiac Service Development in Croatia
This article describes the establishment of a pediatric cardiac service program in a limited resource country. According to national epidemiological studies about 330 children with congenital heart disease (CHD) are born every year in Croatia. As a part of the former Yugoslavia, there was not an org...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907509/ https://www.ncbi.nlm.nih.gov/pubmed/35282346 http://dx.doi.org/10.3389/fcvm.2022.793166 |
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author | Malčić, Ivan Anić, Darko |
author_facet | Malčić, Ivan Anić, Darko |
author_sort | Malčić, Ivan |
collection | PubMed |
description | This article describes the establishment of a pediatric cardiac service program in a limited resource country. According to national epidemiological studies about 330 children with congenital heart disease (CHD) are born every year in Croatia. As a part of the former Yugoslavia, there was not an organized strategy for the pediatric cardiac service. After Croatian independence in 1991, even during the war, a need for such service led to the first step in the development of organized care for patients with CHD, a humanitarian mission provided by a non-governmental organization (NGO), from the United States. In the ten-year period (1993–2003), 601 children were operated on during this program. After the end of this program, the Croatian team was not able to cover the whole spectrum of pediatric cardiac care independently. About 60% of the children were sent abroad, and only about 40% of the operations were performed in Croatia. Over the time, the surgical team improved and after a specialized congenital heart surgeon joined, the number and quality of the program in the country raised, and the number of referrals to foreign centers gradually declined. In the meantime, a cardiological interventional program also improved. Today majority of standard congenital heart surgery procedures can be performed in Croatia. Last year our congenital heart team operated on 180 patients with low mortality and the interventional team (pediatric and adult) performed 66 procedures. In the article, we present positive shifts achieved during time as well as weaknesses and reasons for problems in establishing a high-quality CHD center. |
format | Online Article Text |
id | pubmed-8907509 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-89075092022-03-11 Pediatric Cardiac Service Development in Croatia Malčić, Ivan Anić, Darko Front Cardiovasc Med Cardiovascular Medicine This article describes the establishment of a pediatric cardiac service program in a limited resource country. According to national epidemiological studies about 330 children with congenital heart disease (CHD) are born every year in Croatia. As a part of the former Yugoslavia, there was not an organized strategy for the pediatric cardiac service. After Croatian independence in 1991, even during the war, a need for such service led to the first step in the development of organized care for patients with CHD, a humanitarian mission provided by a non-governmental organization (NGO), from the United States. In the ten-year period (1993–2003), 601 children were operated on during this program. After the end of this program, the Croatian team was not able to cover the whole spectrum of pediatric cardiac care independently. About 60% of the children were sent abroad, and only about 40% of the operations were performed in Croatia. Over the time, the surgical team improved and after a specialized congenital heart surgeon joined, the number and quality of the program in the country raised, and the number of referrals to foreign centers gradually declined. In the meantime, a cardiological interventional program also improved. Today majority of standard congenital heart surgery procedures can be performed in Croatia. Last year our congenital heart team operated on 180 patients with low mortality and the interventional team (pediatric and adult) performed 66 procedures. In the article, we present positive shifts achieved during time as well as weaknesses and reasons for problems in establishing a high-quality CHD center. Frontiers Media S.A. 2022-02-24 /pmc/articles/PMC8907509/ /pubmed/35282346 http://dx.doi.org/10.3389/fcvm.2022.793166 Text en Copyright © 2022 Malčić and Anić. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Malčić, Ivan Anić, Darko Pediatric Cardiac Service Development in Croatia |
title | Pediatric Cardiac Service Development in Croatia |
title_full | Pediatric Cardiac Service Development in Croatia |
title_fullStr | Pediatric Cardiac Service Development in Croatia |
title_full_unstemmed | Pediatric Cardiac Service Development in Croatia |
title_short | Pediatric Cardiac Service Development in Croatia |
title_sort | pediatric cardiac service development in croatia |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907509/ https://www.ncbi.nlm.nih.gov/pubmed/35282346 http://dx.doi.org/10.3389/fcvm.2022.793166 |
work_keys_str_mv | AT malcicivan pediatriccardiacservicedevelopmentincroatia AT anicdarko pediatriccardiacservicedevelopmentincroatia |