Incidencija urođenih srčanih mana u svetu prema težini mane
Sažetak
Uvod/Cilj. Urođene srčane mane su strukturne ili funkcionalne anomalije srca prisutne na rođenju čak iako se otkriju mnogo kasnije. Njihov značaj leži u činjenici da zavisno od težine menjaju kvalitet života, ili ga ozbiljno ugrožavaju. Osim toga, ne treba zanemariti ni visoke troškove lečenja osoba sa urođenim srčanim manama. Cilj rada bio je da se analiziraju vrednosti incidencije urođenih srčanih mana u odnosu na njihovu težinu u svetu na osnovu dostupne literature. Metode. Analizirana je sva dostupna literatura koja se odnosi na incidencije urođenih srčanih mana prema težini objavljena u periodu od 1955. do 2012. godine. Analizirano je 128 naslova i apstrakata na ovu temu. Zbog metodološke nedosljednosti, 117 radova je odbačeno. Na osnovu kriterijuma dostupnosti i uporedivosti, u našu analizu uključeno je 11 studija u cilju proučavanja incidencije urođenih srčanih mana prema težini. Pri poređenju proučavanih incidencija korišten je Yates-ov χ2-test. Rezultati. Učestalost teških urođenih srčanih mana kreće se u rasponu od 0,414 do 2,3/1 000 živorođene dece, incidencija srednje teških urođenih srčanih mana je u intervalu od 0,43 do 2,6, dok je u grupi lakih mana incidencija u rasponu od 0,99 do 10,3/1 000 živorođene dece. Nije rađena statistički značajna razlika u incidenciji lakih, srednje teških i teških urođenih srčanih mana. Zaključak. Rezultati dobijeni na osnovu dostupnih podataka navode na zaključak da nema statistički značajne razlike u incidencijama lakih, srednje teških i teških urođenih srčanih mana kao i da je neophodan univerzalni metodološki pristup izučavanju incidencije urođenih srčanih mana.
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