A study of prevalence and pattern of congenital heart disease and rheumatic heart disease among school children

Nisale, Suryakant H.; Maske, Vidyadhar G.

doi:10.18203/2349-3933.ijam20163729

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…We found significantly fewer males with unrepaired CHD among school children (RR 0.84; p = 0.001). The incidence of CHD among males and females at birth is similar; previous studies have shown a higher CHD mortality rate among males in infancy than females which could account for our result [4,29]. However, we cannot entirely rule out differential access to surgery between male and female infants as a contributory cause.…”

Section: Discussionsupporting

confidence: 54%

“…3 Division of Paediatric Cardiology, Department of Paediatrics, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa. 4 Division of Cardiology, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa. 5 National Heart and Lung Institute, Imperial College London, Royal Brompton and Harefield NHS Trust, London, UK.…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, global data regarding trends in access to definitive treatment for children diagnosed in infancy are relatively sparse. Individual studies of school-age children have reported CHD prevalence varying widely, from 0.5/1000 to 18/1000 [4,5]. By contrast with studies of live births with CHD, which have been conducted using large birth registries, the sample sizes of studies in school children have generally been relatively modest, which limits the inference possible from any individual investigation.…”

Section: Introductionmentioning

confidence: 99%

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Global prevalence of congenital heart disease in school-age children: a meta-analysis and systematic review

Liu

Chen

Zühlke

et al. 2020

BMC Cardiovasc Disord

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Background Congenital heart disease (CHD) is the commonest birth defect. Studies estimating the prevalence of CHD in school-age children could therefore contribute to quantifying unmet health needs for diagnosis and treatment, particularly in lower-income countries. Data at school age are considerably sparser, and individual studies have generally been of small size. We conducted a literature-based meta-analysis to investigate global trends over a 40-year period. Methods and results Studies reporting on CHD prevalence in school-age children (4–18 years old) from 1970 to 2017 were identified from PubMed, EMBASE, Web of Science and Google Scholar. According to the inclusion criteria, 42 studies including 2,638,475 children, reporting the prevalence of unrepaired CHDs (both pre-school diagnoses and first-time school-age diagnoses), and nine studies including 395,571 children, specifically reporting the prevalence of CHD first diagnosed at school ages, were included. Data were combined using random-effects models. The prevalence of unrepaired CHD in school children during the entire period of study was 3.809 (95% confidence intervals 3.075–4.621)/1000. A lower proportion of male than female school children had unrepaired CHD (OR = 0.84 [95% CI 0.74–0.95]; p = 0.001). Between 1970–1974 and 1995–1999, there was no significant change in the prevalence of unrepaired CHD at school age; subsequently there was an approximately 2.5-fold increase from 1.985 (95% CI 1.074–3.173)/1000 in 1995–1999 to 4.832 (95% CI 3.425–6.480)/1000 in 2010–2014, (p = 0.009). Among all CHD conditions, atrial septal defects and ventricular septal defects chiefly accounted for this increasing trend. The summarised prevalence (1970–2017) of CHD diagnoses first made in childhood was 1.384 (0.955, 1.891)/1000; during this time there was a fall from 2.050 [1.362, 2.877]/1000 pre-1995 to 0.848 [0.626, 1.104]/1000 in 1995–2014 (p = 0.04). Conclusions Globally, these data show an increased prevalence of CHD (mainly mild CHD conditions) recognised at birth/infancy or early childhood, but remaining unrepaired at school-age. In parallel there has been a decrease of first-time CHD diagnoses in school-age children. These together imply a favourable shift of CHD recognition time to earlier in the life course. Despite this, substantial inequalities between higher and lower income countries remain. Increased healthcare resources for people born with CHD, particularly in poorer countries, are required.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Global prevalence of congenital heart disease in school-age children: a meta-analysis and systematic review

Liu

Chen

Zühlke

et al. 2020

BMC Cardiovasc Disord

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“…12 3.1 Sawant et al 2013 13 13.3 Gupta et al 1992 14 0.8 Vashishtha et al 1993 15 5. 2 Saxena et al 2013 16 2.3 Nisale et al 2016 17 0.4 Present study 0.7…”

Section: Discussionmentioning

confidence: 59%

Study the universal critical congenital heart disease screening in a peripheral area of Uttarakhand, India

Sahota¹,

Kaur²,

Singh³

et al. 2020

Int J Contemp Pediatr

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Background: Congenital heart disease (CHD) is the most frequently occurring congenital disorder, responsible for 28% of all congenital birth defects. The birth prevalence of CHD is reported to be 8-12/1000 live births. Considering a rate of 9/1000, about 1.35 million babies are born with CHD each year globally. Objective of research work to study the prevalence of CHD among newborn and its types.Methods: This cross-sectional study was carried among 34 cases of CHD/5126 newborn screened at 4 birthing places in Kashipur a small town in Uttrakhand at pediatrics department of Sahota Super-specialty hospital, Kashipur, Uttarakhand. Screening program between 22 August 2014, and March 30, 2019. All newborns, including preterm babies, delivered in these facilities were eligible for inclusion in this study.Results: Present study found the prevalence of CHD was 0.7 per 1000 children (34/5126). Around 26.5% participants have cyanotic CHD and 73.5% have acynotic CHD. Almost 44%, 28%, 20%, 4% and 4% participants of acynotic congenital heart diseases have VSD, ASD, PDA, AVSD and valvular PS respectively and 55.6%, 22.2%, 11.1% and 11.1% participants of cynotic congenital heart diseases have TOF, DORV/VSD, dTGA/VSD and tricuspid atresia respectively.Conclusions: Screening for congenital heart disease should be included as a part of newborn assessment as it is a common congenital problem. Early identification influences outcome. Barriers in implementation of the screening programmes in resource limited setting is a challenging feature. This study can provide observed data that can help in policy making in the health sector.

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“…Khalil et al (15) 1994 Indian Pediatrics Hospital Live births 10964 3.9/1000 Kapoor R et al (9) 2007 Indian Pediatrics Hospital (Kanpur) 0-15 yrs. 10641 26/1000 M Mishra (16) 2009 IHJ Community (UP) 5-15 yrs.…”

Section: Chd Detected Bymentioning

confidence: 99%

Echocardiography Based Study of the Prevalence and Pattern of Congenital Heart Disease (Chd) in 5-15 Years Old School Going Children of Manipur, a North-East Hilly Indian State

Thangjam¹,

Rothangpui²,

Irom³

et al. 2017

jebmh

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BACKGROUND CHD is the leading cause of morbidity and mortality in the developed world, while reports from India looking into the burden of the disease have been variable depending on the age group of subjects studied and the methodology involved. We were interested to find the prevalence and pattern of the disease in this north eastern Indian state of Manipur, which has a unique geographical and racial composition. MATERIALS AND METHODS This is a community based, prospective, cross sectional study where each and every child aged 5-15 years from randomly selected schools of Manipur were examined by 2D colour Doppler Echocardiography and physically as well, where the examiners were blinded, and the findings were noted independent of each other. The anthropometric parameters, clinical details and echocardiography findings were all recorded. RESULTS Of the 3600 children examined, 47 cases of CHD were detected, giving echocardiographic prevalence of 13 per 1000 where BAV (44%) was found as the commonest lesion followed by VSD (17%) and ASD (14%). Clinically detectable lesion was found in 21 subjects (VSD-8, ASD-7, PS-3, PDA-1, AVSD-1, BAV-1 with AR). Of the clinically detectable CHD, VSD was the commonest followed by ASD. In the subclinical CHD category, 20 cases of BAV, 4 cases of mild MVP without MR, 1 case of apical LV discompacta, 1 case of IASA were detected. CONCLUSION The echocardiography prevalence of congenital heart disease in school going children of Manipur is 13/1000. This highest ever reported prevalence of CHD in children is most probably related to the use of the highly sensitive investigative tool of Echocardiography in each subject of our study resulting in detection of clinically silent lesions.

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A study of prevalence and pattern of congenital heart disease and rheumatic heart disease among school children

Cited by 7 publications

References 8 publications

Global prevalence of congenital heart disease in school-age children: a meta-analysis and systematic review

Global prevalence of congenital heart disease in school-age children: a meta-analysis and systematic review

Study the universal critical congenital heart disease screening in a peripheral area of Uttarakhand, India

Echocardiography Based Study of the Prevalence and Pattern of Congenital Heart Disease (Chd) in 5-15 Years Old School Going Children of Manipur, a North-East Hilly Indian State

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