Prevalence Of Rheumatic Heart Disease In Urban School Going Children In South India, A Community Based Cross Sectional Study
Journal Title: National Journal of Research in Community Medicine - Year 2016, Vol 0, Issue 0
Abstract
Background: Rheumatic fever and rheumatic heart disease (RF & RHD) continues be a significant public health problem in less privileged regions of the world.Considering the importance of periodic surveys in countries where organized screening programmes at national or regional level are not in place, the current study has been planned to assess the prevalence and clinical profile of Rheumatic heart disease (RHD) in school going children aged 5 – 17 years in selected schools, using echocardiograph and to analyze the factors associated Rheumatic heart disease in the study population. METHODS: The current study was a school based Cross sectional study of 7137 school children aged 5 to 17 years from 3 randomly selected urban schools. Students suspected of having rheumatic fever or RHD in the past or currently by history and clinical examination were subjected to, 12 lead ECG, Echo cardiography. RESULTS: The overall prevalence of RHD was 0.34% (95% CI 0.23%to 0.50%). Previously undiagnosed proportion of RHD was 66.67%. The prevalence was highest in 8 to 10-year-old children (0.82%) and girls had higher prevalence, compared to boys (0.46% in girls compared to 0.23% in boys). There was a gradually declining trend in proportion of cases with increasing socioeconomic score. Mitral valve alone was involved in 75% of the affected children. Isolated mitral regurgitation was the most common lesion seen in 37.5% of the subjects. COCNLUSISON: The undiagnosed burden of RHD is very high in Indian school children. Poor socio economic and housing conditions are associated with higher prevalence of RHD. Mitral valve was the most common valve involved.
Authors and Affiliations
Poyyamozhi J. S. , Rajan Rushender C. , Dinesh Kumar G.
Keywords
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