Analysis of Rheumatic Heart Disease Mortality in the Chinese Population: A JoinPoint and Age–Period–Cohort Study

Cui, Jiameng; Guo, Xinru; Yuan, Xin; Wu, Hao; Yu, Gao; Li, Biao; Kou, Changgui

doi:10.3390/ijerph19169872

Cited by 5 publications

(7 citation statements)

References 30 publications

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“…After segmentation, the researchers can clearly see the change trend and then analyze the background and causes of the segment points. In recent years, JPR has been increasingly used by researchers to determine the trend of tumors, COVID‐19, AIDS, smoking, and other diseases 14–17 . Further, the cluster analysis used in the above literatures (such as hotspot analysis and spatial correlation analysis) give more insights into the spatial distribution characteristics of HFRS, 10,11 but ignore its temporal evolution pattern.…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, JPR has been increasingly used by researchers to determine the trend of tumors, COVID-19, AIDS, smoking, and other diseases. [14][15][16][17] Further, the cluster analysis used in the above literatures (such as hotspot analysis and spatial correlation analysis) give more insights into the spatial distribution characteristics of HFRS, 10,11 but ignore its temporal evolution pattern. To this end, wavelet cluster analysis provides an efficient tool to character the internal variation of HFRS in a space−time−frequency domain together with the series from various spatial locations.…”

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confidence: 99%

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Spatial‐temporal dynamics and time series prediction of HFRS in mainland China: A long‐term retrospective study

He¹,

Wang

Wei

et al. 2022

Journal of Medical Virology

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Hemorrhagic fever with renal syndrome (HFRS) is highly endemic in mainland China. The current study aims to characterize the spatial‐temporal dynamics of HFRS in mainland China during a long‐term period (1950−2018). A total of 1 665 431 cases of HFRS were reported with an average annual incidence of 54.22 cases/100 000 individuals during 1950−2018. The joint regression model was used to define the global trend of the HFRS cases with an increasing‐decreasing‐slightly increasing‐decreasing‐slightly increasing trend during the 68 years. Then spatial correlation analysis and wavelet cluster analysis were used to identify four types of clusters of HFRS cases located in central and northeastern China. Lastly, the prophet model outperforms auto‐regressive integrated moving average model in the HFRS modeling. Our findings will help reduce the knowledge gap on the transmission dynamics and distribution patterns of the HFRS in mainland China and facilitate to take effective preventive and control measures for the high‐risk epidemic area.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Spatial‐temporal dynamics and time series prediction of HFRS in mainland China: A long‐term retrospective study

He¹,

Wang

Wei

et al. 2022

Journal of Medical Virology

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“…In China, the risk of ARF and RHD is medium to high ( 26 ). The incidence of ARF and RHD had peaked in the 1940s–1950s, but began to decline during the 1950s–1970s ( 26 ).…”

Section: Resultsmentioning

confidence: 99%

The rise and fall of acute rheumatic fever and rheumatic heart disease: a mini review

Liang

et al. 2023

Front. Cardiovasc. Med.

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IntroductionThe incidences of acute rheumatic fever (ARF) and rheumatic heart disease (RHD), which were leading causes of death in children in the 1920s, have decreased substantially. Considering the recent resurgence of scarlet fever and increased incidence of streptococcal pharyngitis in children, an investigation of the current status of ARF and RHD may be worthwhile.ObjectiveTo summarize the prevalence trends, pathogenic factors, and prevention strategies for ARF and RHD in children.MethodsA selective search of literature published between January 1920 and February 2023 was done in PubMed, using the terms “acute rheumatic fever”, “rheumatic heart disease”, “group A Streptococcus”, “pharyngitis”, “pharyngeal tonsillitis”, “scarlet fever”, “impetigo”, “obstructive sleep apnea syndrome” and “child”.ResultsOvercrowded homes and inadequate sanitation led to recurrent group A streptococcal infection, and the causal relationship between group A streptococcal infection and ARF/RHD was well established. Streptococcal infectious diseases, such as group A streptococcal pharyngeal tonsillitis, SF, impetigo, and obstructive sleep apnea syndrome, were associated with the occurrence of ARF and RHD. ARF and RHD were still prevalent in young people of developing countries and economically poor populations of high-income countries. Universal disease registration systems were critical to locating disease outbreaks, tracking disease transmission, and identifying high-risk populations. Four-level prevention strategies were effective in reducing the incidence and mortality of ARF and RHD.ConclusionsRegistry and preventive measures for ARF and RHD should be strengthened in areas of dense population; poor sanitation; resurgence of SF; and high incidence of streptococcal pharyngitis, impetigo, and obstructive sleep apnea syndrome.

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“…In this study, there was no difference in mortality between males and females. Similarly, while some studies have shown that females had a higher risk of mortality than males, 37 others 1,8 reported the opposite. Indeed, in our previous review, we concluded that it is not clear whether sex plays a role in the diagnosis, management and prognosis of MS and hence a need for research to explore the mechanisms for the differences 17 .…”

Section: Discussionmentioning

confidence: 95%

Comparison between interventional versus medical therapy in patients with rheumatic mitral valve stenosis in Tanzania

Mutagaywa,

Kifai,

Elinisa

et al. 2023

Eur J Clin Investigation

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BackgroundRheumatic heart disease remains the most common cardiovascular disease in children and young adults. The outcome of interventional versus medical therapy on the long term is not fully elucidated yet. This study provides contemporary data on the clinical profile, treatment and follow up of patients with rheumatic mitral stenosis (MS) in Tanzania.MethodsPatients' medical information, investigations and treatment data were recorded in this prospective cohort study. They were followed up for 6–24 months to determine the long‐term outcome. Interventional therapy was defined as a combination of surgery and percutaneous balloon mitral valvuloplasty. Kaplan–Meier curves and Cox proportional hazards model were used in analyses. p‐Value < 0.05 was considered statistically significant.ResultsWe enrolled 290 consecutive patients. Interventions were done in half of the patients. Median follow up was 23.5 months. Mortality was higher in the medical than interventional treatment (10.4% vs. 4%, log‐rank p = 0.001). Median age was 36 years, females (68.3%) and low income (55.5%). Multivalvular disease was found in 116 (40%) patients, atrial fibrillation (31.4%), stroke/transient ischaemic attack (18.9%) and heart failure class III–IV (44.1%). Median (IQR) duration of disease was 3 (4) years, secondary prophylaxis (27.7%) and oral anticoagulants use (62.3%). In multivariable analysis, the risk of death among patients on medical was 3.07 times higher than those on interventional treatment (crude HR 3.07, 95% CI 1.43–6.56, p = 0.004), 2.44 times higher among patients with arrhythmias versus without arrhythmias (crude HR 2.44, 95% CI 1.19–4.49, p = 0.015) and 2.13 times higher among patients with multivalvular than single valve disease (crude HR 2.13, 95% CI 1.09–4.16, p = 0.026).ConclusionsIntervention is carrying low mortality compared to medical treatment. Arrhythmias and multivalvular disease are associated with a high mortality. Rheumatic MS is more prevalent in young people, females and individuals with low income. There is a late hospital presentation and a low use of both secondary prophylactic antibiotics and anticoagulants.

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Analysis of Rheumatic Heart Disease Mortality in the Chinese Population: A JoinPoint and Age–Period–Cohort Study

Cited by 5 publications

References 30 publications

Spatial‐temporal dynamics and time series prediction of HFRS in mainland China: A long‐term retrospective study

Spatial‐temporal dynamics and time series prediction of HFRS in mainland China: A long‐term retrospective study

The rise and fall of acute rheumatic fever and rheumatic heart disease: a mini review

Comparison between interventional versus medical therapy in patients with rheumatic mitral valve stenosis in Tanzania

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