oa Cardiovascular Journal of Africa - Service compliance with postoperative anticoagulation therapy in paediatric patients



At Ga-Rankuwa Hospital, 50 paediatric patients received mechanical cardiac valve replacements for chronic rheumatic heart disease over a period of 4 years and 8 months. Twenty of 50 patients were lost to follow-up (40%). Thirty-three patients residing in the north and north-eastern Transvaal were identified and their referring hospitals visited. Sixty per cent of these patients (20/33) were not available at the peripheral hospital, and the hospital administration could not account for them.


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