Prevalence of latent structural heart disease in Nepali schoolchildren.


Journal

Cardiology in the young
ISSN: 1467-1107
Titre abrégé: Cardiol Young
Pays: England
ID NLM: 9200019

Informations de publication

Date de publication:
Jul 2022
Historique:
pubmed: 5 11 2021
medline: 14 7 2022
entrez: 4 11 2021
Statut: ppublish

Résumé

The present study aimed to quantify the burden of structural heart disease in Nepali children. We performed a school-based cross-sectional echocardiographic screening study with cluster random sampling among children 5-16 years of age. Between December 2012 and January 2019, 6573 children (mean age 10.6 ± 2.9 years) from 41 randomly selected schools underwent echocardiographic screening. Structural heart disease was detected in 14.0 per 1000 children (95% CI 11.3-17.1) and was congenital in 3.3 per 1000 (95% CI 2.1-5.1) and rheumatic in 10.6 per 1000 (95% CI 8.3-13.4). Rates of rheumatic heart disease were higher among children attending public as compared to private schools (OR 2.8, 95% CI 1.6-5.2, p = 0.0001). Rheumatic heart disease accounted for three out of four cases of structural heart disease and was more common among children attending public as compared to private schools.

Sections du résumé

BACKGROUND BACKGROUND
The present study aimed to quantify the burden of structural heart disease in Nepali children.
METHODS METHODS
We performed a school-based cross-sectional echocardiographic screening study with cluster random sampling among children 5-16 years of age.
RESULTS RESULTS
Between December 2012 and January 2019, 6573 children (mean age 10.6 ± 2.9 years) from 41 randomly selected schools underwent echocardiographic screening. Structural heart disease was detected in 14.0 per 1000 children (95% CI 11.3-17.1) and was congenital in 3.3 per 1000 (95% CI 2.1-5.1) and rheumatic in 10.6 per 1000 (95% CI 8.3-13.4). Rates of rheumatic heart disease were higher among children attending public as compared to private schools (OR 2.8, 95% CI 1.6-5.2, p = 0.0001).
CONCLUSION CONCLUSIONS
Rheumatic heart disease accounted for three out of four cases of structural heart disease and was more common among children attending public as compared to private schools.

Identifiants

pubmed: 34732274
pii: S1047951121004479
doi: 10.1017/S1047951121004479
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1151-1153

Auteurs

Nikesh R Shrestha (NR)

Department of Cardiology, Neuro Cardio and Multispeciality Hospital, Biratnagar, Nepal.

Surendra Uranw (S)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Prahlad Karki (P)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Santosh Bastola (S)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Rajan Mahato (R)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Kunjang Sherpa (K)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Sahadeb Dhungana (S)

Department of Cardiology, Noble Medical College Teaching Hospital and Research Center, Biratnagar, Nepal.

Keshar Gurung (K)

Department of Cardiology, Neuro Cardio and Multispeciality Hospital, Biratnagar, Nepal.

Naveen Pandey (N)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Krishna Agrawal (K)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Joanna Bartkowiak (J)

Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Prashant Shah (P)

Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Martina Rothenbühler (M)

Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Thomas Pilgrim (T)

Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

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