مورد إلكتروني
Rheumatic heart disease in Timor-Leste school students: An echocardiography-based prevalence study.
| العنوان: | Rheumatic heart disease in Timor-Leste school students: An echocardiography-based prevalence study. |
|---|---|
| بيانات النشر: | Australasian Medical Publishing Co. Ltd (P.O.Box 18667, Newark NJ 07191-8667, United States) Australia 2018-05-17 |
| تفاصيل مُضافة: | Roberts K.V. Do Rosario I.M. Da Silva Almeida I.T. Carapetis J.R. Francis J.R. Davis K. Remenyi B. Draper A.D.K. Dos Santos J. Bayley N. Paratz E. Reeves B. Appelbe A. Cochrane A. Johnson T.D. Korte L.M. |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Objectives: To determine the prevalence of rheumatic heart disease (RHD) in school-aged children and young people in Timor-Leste. Design(s): Prospective cross-sectional survey. Echocardiography was performed by Australian cardiologists to determine the presence of RHD. Demographic data were also collected. Patients in whom RHD was detected were entered into a register to allow monitoring of adherence to secondary prophylaxis; the first dose of benzathine penicillin G (BPG) was administered on the day of screening. Setting(s): Schools in urban (Dili) and rural (Ermera) Timor-Leste. Participant(s): School students aged 5-20 years. Outcome measures: Definite and borderline RHD, as defined by World Heart Federation echocardiographic criteria. Result(s): 1365 participants were screened; their median age was 11 years (IQR, 9-14 years), and 53% were girls. The estimated prevalence of definite RHD was 18.3 cases per 1000 population (95% CI, 12.3-27.0 per 1000), and of definite or borderline RHD 35.2 per 1000 (95% CI, 26.5-46.4 per 1000). Definite (adjusted odds ratio [aOR], 3.5; 95% CI, 1.3-9.4) and definite or borderline RHD (aOR, 2.7; 95% CI, 1.4-5.2) were more prevalent among girls than boys. Eleven children (0.8%) had congenital heart disease. Of the 25 children in whom definite RHD was identified, 21 (84%) received education and a first dose of BPG on the day of screening; all 25 have since received education about primary care for RHD and have commenced penicillin prophylaxis. Conclusion(s): The rates of RHD in Timor-Leste are among the highest in the world, and prevalence is higher among girls than boys. Community engagement is essential for ensuring follow-up and the effective delivery of secondary prophylaxis.Copyright © 2018 AMPCo Pty Ltd. Produced with Elsevier B.V. All rights reserved. |
| مصطلحات الفهرس: | benzathine penicillin/dt [Drug Therapy], adult, article, child, confidence interval, congenital heart disease/di [Diagnosis], controlled study, cross-sectional study, echocardiography, female, follow up, human, major clinical study, male, odds ratio, preschool child, prevalence, primary medical care, primary prevention, prospective study, rheumatic heart disease/di [Diagnosis], rheumatic heart disease/dt [Drug Therapy], rheumatic heart disease/ep [Epidemiology], rheumatic heart disease/pc [Prevention], school child, sex difference, Timor-Leste, young adult, Article |
| URL: | Medical Journal of Australia Click here for full text options LibKey Link |
| الإتاحة: | Open access content. Open access content Copyright 2019 Elsevier B.V., All rights reserved. |
| أرقام أخرى: | AUSHL oai:repository.monashhealth.org:1/36993 Medical Journal of Australia. 208 (7) (pp 303-307), 2018. Date of Publication: 16 Apr 2018. 0025-729X https://repository.monashhealth.org/monashhealthjspui/handle/1/36993Test 29642817 [http://www.ncbi.nlm.nih.gov/pubmed/?term=29642817Test] 621965151 (Davis, Remenyi, Roberts, Francis) Royal Darwin Hospital, Darwin, NT, Australia (Davis, Do Rosario, Da Silva Almeida) Hospital Nacional Guido Valadares, Dili, Timor-Leste (Draper) Centre for Disease Control, Northern Territory Department of Health, Darwin, NT, Australia (Dos Santos) Maluk Timor, Dili, Timor-Leste (Bayley) East Timor Hearts Fund, Melbourne, VIC, Australia (Paratz) St Vincent's Hospital, Melbourne, VIC, Australia (Reeves) Cairns Hospital, Cairns, QLD, Australia (Appelbe) Geelong Cardiology Group, Barwon Health, Geelong, VIC, Australia (Cochrane) Monash Medical Centre Clayton, Melbourne, VIC, Australia (Johnson, Carapetis) Telethon Kids Institute, University of Western Australia, Perth, WA, Australia (Korte) Paediatric WA Country Health Service - Kimberley, Broome, WA, Australia (Francis) Global and Tropical Health Division Menzies School of Health Research, Darwin, NT, Australia Francis J.R.; josh.francis@nt.gov.au 1305111056 |
| المصدر المساهم: | MONASH HEALTH LIBRS From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1305111056 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |