Pediatric cardiac surgery in low- and middle-income countries or emerging economies: a continuing challenge

Nguyenvu Nguyen1, A Thomas Pezzella2

  • 1Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA nnguyen@luriechildrens.org.

Insights

Global pediatric cardiac care faces challenges from increasing congenital and acquired heart diseases. Initiatives aim to improve access, quality, and outcomes, especially in underserved regions, focusing on current and future solutions.

Area of Science:

  • Pediatric Cardiology
  • Global Health

Background:

  • Rising incidence of congenital and acquired pediatric cardiac diseases globally.
  • Challenges include delayed recognition, limited access to services, and high costs.
  • Existing initiatives address these issues with varying success.

Purpose of the Study:

  • To review past and present initiatives in pediatric cardiac care.
  • To identify challenges and propose solutions for improving global pediatric cardiac surgery.
  • To focus on enhancing care in underserved areas.

Main Methods:

  • Literature review of publications, seminars, and conferences.
  • Analysis of proposals, recommendations, and projects.
  • Focus on contemporary initiatives and future directions.

Main Results:

  • Identified a global backlog and increasing incidence of pediatric cardiac diseases.
  • Highlighted issues in recognition, referral, service access, and costs.
  • Documented various proposals and projects aimed at improving care.

Conclusions:

  • There is a critical need to enhance the quality and quantity of pediatric cardiac care worldwide.
  • Addressing underserved areas is a key priority.
  • Continued focus on challenging aspects of pediatric cardiac surgery is essential.