| dc.description.abstract | Background : Majority of congenital heart disease are diagnosed during evaluation
of a murmur detected either during a routine follow-up or while assessment during an
intercurrent illness. Clinical differentiation between pathologic and innocent murmurs
would be important to identify those children who need further evaluation. Nadas
criteria can be used to differentiate pathologic from innocent murmurs
Objective : The aim of the study was to assess the accuracy of the Nadas criteria in
helping to diagnose disease in children suspected of having congenital heart disease.
Methodology : This was a diagnostic study with a cross-sectional approach. Inclusion
criteria were children aged 1 month to 12 years from history and physical examination,
there was a history of reccurent ARI, poor nutritional status , murmur were found,
with/without cyanosis who attended the outpatient cardiology pediatric at Haji Adam
Malik General Hospital between Januari - july 2021. Data analysis was created using
IBM SPSS Statistics version 25 program.
Results : The total number of participants was 70 children which were divided into 60
children (85.71%) with CHD and 10 children (14.29%) not with CHD. There were 38
children (63.33%) in the group of children aged less than 5 years with CHD. All CHD
patients had poor nutritional status and 53 children (88.33%) of CHD patients had a
history of recurrent ARI. A grade 3 or higher systolic murmur was found in 47 children
(78.33%) of patients with CHD. Abnormal S2 occurred in 33 children (55%) with CHD.
All children with CHD were detected with an abnormal ECG. Abnormal chest X-ray
was found in 48 children (80%) with CHD.
Conclusion : NADAS criteria can be used when score at 3 (1 major + 2 minor) with
accuracy 87.14%, AUC value is 0.842, sensitivity of 88.33% and specificity was 80% | en_US |
