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Epidemiology of congenital heart disease in Brazil
Valdester Cavalcante Pinto Júnior1, Klébia Magalhães P Castello Branco2, Rodrigo Cardoso Cavalcante3
1Hospital Messejana, CE, Brazil.
Insights
Congenital heart disease (CHD) is significantly underreported in Brazil. Current data capture only 5.3% of estimated cases, highlighting critical gaps in public health surveillance for this condition.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Congenital heart disease (CHD) represents structural or functional abnormalities present from birth, with potential for severe outcomes.
- In Brazil, CHD accounted for 6% of infant deaths in 2007, underscoring its public health significance.
Purpose of the Study:
- To quantify the extent of underreporting in the prevalence of congenital heart disease (CHD) in Brazil.
- To analyze underreporting across different subtypes of CHD.
Main Methods:
- Prevalence calculations utilized established coefficients and function rates, comparing literature data with governmental registries.
- An estimated incidence of 9 per 1000 births was applied to 2010 birth data.
- Descriptive methods, including rates and coefficients, were used to compare estimated CHD cases with Ministry of Health reports.
Main Results:
- An estimated 25,757 new cases of CHD occur annually in Brazil.
- Only 1,377 cases (5.3% of the estimate) were reported to the Ministry of Health in 2010.
- Key subtypes identified include ventricular septal defect, atrial septal defect, and persistent ductus arteriosus.
Conclusions:
- Significant underreporting of congenital heart disease prevalence exists in Brazil.
- Current registration methodologies require revision to accurately capture CHD incidence and prevalence.
- Improved data collection is crucial for effective public health strategies and interventions for CHD.
Introduction:
Congenital heart disease is an abnormality in the structure or cardiocirculatory function, occurring from birth, even if diagnosed later. It can result in intrauterine death in childhood or in adulthood. Accounted for 6% of infant deaths in Brazil in 2007.
Objective:
To estimate underreporting in the prevalence of congenital heart disease in Brazil and its subtypes.
Methods:
The calculations of prevalence were performed by applying coefficients, giving them function rates for calculations of health problems. The study makes an approach between the literature and the governmental registries. It was adopted an estimate of 9: 1000 births and prevalence rates for subtypes applied to births of 2010. Estimates of births with congenital heart disease were compared with the reports to the Ministry of Health and were studied by descriptive methods with the use of rates and coefficients represented in tables.
Results:
The incidence in Brazil is 25,757 new cases/year, distributed in: North 2,758; Northeast 7,570; Southeast 10,112; South 3,329; and Midwest 1,987. In 2010, were reported to System of Live Birth Information of Ministry of Health 1,377 cases of babies with congenital heart disease, representing 5.3% of the estimated for Brazil. In the same period, the most common subtypes were: ventricular septal defect (7,498); atrial septal defect (4,693); persistent ductus arteriosus (2,490); pulmonary stenosis (1,431); tetralogy of Fallot (973); coarctation of the aorta (973); transposition of the great arteries (887); and aortic stenosis 630. The prevalence of congenital heart disease, for the year of 2009, was 675,495 children and adolescents and 552,092 adults.
Conclusion:
In Brazil, there is underreporting in the prevalence of congenital heart disease, signaling the need for adjustments in the methodology of registration.
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