The prevalence of chest wall deformity in Turkish children

Abstract

Background/aim: This study aimed to identify children who have chest wall deformity, the prevalence of deformity, and the factors affecting the psychological and physical disorders caused by the deformity. Materials and methods: The study was conducted among 14,108 girls and boys aged 11-14 years, who were 5th-8th grade secondary school students in Ankara Province between October 2014 and March 2015. Results: Of the 14,108 students in our study, the mean age of the children was 12.53 ± 1.11 years (median 12.54, 11-14 years) and chest wall deformity was detected in 199 (1.41%) students. Male/female and pectus carinatum/pectus excavatum ratios were 2.16 and 1.59, respectively. According to multivariate logistic regression analysis, physical disturbance was found to be statistically significantly higher among children in age group 11 [adjusted OR (95% CI) =16.01 (1.89-135.61), P < 0.011] and in children who were aware of the deformity [adjusted OR (95% CI) = 0.31 (0.13-0.71), P < 0.006], and psychological disturbance was found to be statistically significantly higher in girls [adjusted OR (95% CI) = 15.44 (1.68-141.59), P < 0.015] and in those with a presence of family history [adjusted OR (95% CI) = 18.66 (1.92-181.60), P < 0.012]. Conclusion: In this study conducted in a large population, chest wall deformities were found to be more prevalent in boys (0.96%) and pectus carinatum was found as the most common deformity type in our country, contrary to the literature.

Demographic characteristics of pectus deformities across Turkey

“…In three different studies screening school-age children for chest deformity, two from Turkey and one from Brazil, PE was reported in 76 (38%) of 199 cases, 19 (55%) of 34 cases, and 14 (54%) of 26 cases, respectively. [10][11][12] Taken together, these results indicate that PE deformity is the most common anterior chest wall deformity; however, the ratio of PC/PE is around 1:2 for our country.…”

“…[1,3,[6][7][8]10] In the literature and studies conducted in our country, the prevalence of chest deformity is similar, ranging from 0.7 to 1.4%. [11][12][13][14][15] There are screening studies including school children to determine the prevalence of pectus deformities. In the research by Akkas et al [11] including 14,108 students aged between 11 and 14 years in Ankara province, the rate of chest deformity was found to be 1.41%.…”

“…[11][12][13][14][15] There are screening studies including school children to determine the prevalence of pectus deformities. In the research by Akkas et al [11] including 14,108 students aged between 11 and 14 years in Ankara province, the rate of chest deformity was found to be 1.41%. Therefore, studies conducted by adhering only to a particular province may produce misleading results.…”

Does physiotherapy applied in conjunction with compression brace treatment in patients with pectus carinatum have efficacy? A randomized controlled study

“…The subjects age, height, weight, deformity characteristics (mild, moderate, severe, and symmetrical/asymmetrical), complaints, and side effects of orthotics were recorded [18]. Medical history, family history, postural disturbances, avoidance of doing sports/swimming, fatigue, tendency to put on more clothes, and embarrassment due to chest condition were questioned and noted.…”

Pektus Ekskavatum Ve Pektus Kari̇natumlu Hastalarda Görülen Postür Bozukluklari

“…Pektus deformitesine sahip olan hastaların deformitesinden utandıkları için göğüslerini saklama ve göstermeme isteği nedeniyle kalın veya daha fazla giysi giyme, kötü postürde (anterior yöne doğru) durmayı tercih ettikleri belirtilmektedir [11,12]. Torasik kifoz açısı ile inspiratuar kapasite arasında ve toraksın lateral genişlemesi ile yaşam kalitesi arasında olumsuz ilişki gösterildiği [13] [18]. Hastanın özgeçmişi, soy geçmişi, sırt ile göğüs ağrısı yaşayıp yaşamadığı, dinlenim ve egzersiz sırasında nefes darlığı hissi yaşayıp yaşamadığı var/yok olarak not edildi.…”