{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T22:18:39Z","timestamp":1780611519921,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,7,12]],"date-time":"2020-07-12T00:00:00Z","timestamp":1594512000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Timor\u2010Leste is one of the poorest countries in the world. The East Timor Hearts Fund is a charitable organisation involving Australian cardiologists providing outreach screening and access to cardiac interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess ten years of clinical volume, demographics and patient outcomes. Our intention was to identify existing limitations to facilitate planning for further capacity building over the next decade.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The East Timor Hearts Fund database was sectioned into 2\u2010year intervals (2009\/2010, 2011\/2012, 2013\/2014, 2015\/2016 and 2017\/2018). Demographics and clinical outcomes of patients were compared, with subgroup analysis of adult (&gt;18 years old), paediatric and interventional patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 10\u2009years, 2050 patient encounters have occurred; 1119 (54.6%) encounters occurred in 2017\/2018; 73.6% of patients were assessed in the capital Dili. Rheumatic and congenital cardiac diseases remain very common (39.1% of adult new patients and 74.2% of paediatric new patients), with 1.4% of new patients exhibiting both pathologies. The number of new patients with rheumatic or congenital heart disease tripled in 2017\/2018 compared to 2009\/2010 (99 vs 34 patients, <jats:italic>P<\/jats:italic> &lt; 0.0001). Paediatric case volume increased over 10\u2010fold over 10 years (288 new patients in 2017\/2018 vs 24 in 2009\/2010, <jats:italic>P<\/jats:italic> &lt; 0.0001), with corresponding increase in proportion of paediatric interventions (59.4% in 2017\/2018 vs 25.0% in 2009\/2010, <jats:italic>P<\/jats:italic> = 0.027). For patients undergoing intervention (<jats:italic>n<\/jats:italic> = 87), post\u2010procedural complications and mortality are extremely low (3.4% and 1.1%, respectively), with all eligible patients attending at least one post\u2010procedure appointment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Demand for cardiac services in Timor\u2010Leste is rising exponentially, with inequitable geographic coverage. Rheumatic and congenital cardiac diseases remain priorities for assessment, and paediatric case volume is increasing. Patients undergoing intervention experience good medical outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.14411","type":"journal-article","created":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T21:12:42Z","timestamp":1561497162000},"page":"838-845","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Taking the pulse of Timor\u2010Leste\u2019s cardiac needs: a 10\u2010year descriptive time\u2010trend analysis"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2122-9889","authenticated-orcid":false,"given":"Elizabeth D.","family":"Paratz","sequence":"first","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Cardiology Department St Vincent\u2019s Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Cardiology Department Baker Heart and Diabetes Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicki","family":"Mock","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"Gutman","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Cardiology Department St Vincent\u2019s Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Cardiology Department Baker Heart and Diabetes Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ari","family":"Horton","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Paediatric Cardiology Monash Medical Centre  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Creati","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Cardiology Department St Vincent\u2019s Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Appelbe","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Cardiology Department Geelong Hospital  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Eggleton","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Cardiology Department, Eastern Heart Clinic Prince of Wales Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virag","family":"Kushwaha","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Cardiology Department, Eastern Heart Clinic Prince of Wales Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inez T.","family":"da Silva Almeida","sequence":"additional","affiliation":[{"name":"Internal Medicine Hospital Nacional Guido Valdares  Dili Timor\u2010Leste"},{"name":"Valdares Cardiology Warrnambool Base Hospital  Warrnambool Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Internal Medicine Hospital Nacional Guido Valdares  Dili Timor\u2010Leste"},{"name":"Valdares Cardiology Warrnambool Base Hospital  Warrnambool Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Bayley","sequence":"additional","affiliation":[{"name":"East Timor Hearts Fund  Melbourne Victoria Australia"},{"name":"Valdares Cardiology Warrnambool Base Hospital  Warrnambool Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1596\/29877"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13768"},{"key":"e_1_2_7_4_1","unstructured":"Australian Bureau of Statistics. 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