Journal article
Clinical outcomes for young people with screening-detected and clinically-diagnosed rheumatic heart disease in Fiji
D Engelman, RL Mataika, M Ah. Kee, S Donath, T Parks, SM Colquhoun, JR Carapetis, JH Kado, AC Steer
International Journal of Cardiology | ELSEVIER IRELAND LTD | Published : 2017
Abstract
Background Echocardiographic screening is under consideration as a disease control strategy for rheumatic heart disease (RHD). However, clinical outcomes of young people with screening-detected RHD are unknown. We aimed to describe the outcomes for a cohort with screening-detected RHD, in comparison to patients with clinically-diagnosed RHD. Methods A retrospective cohort study included all young people with screening-detected RHD in the Central Division of Fiji in the primary cohort. Screen-negative and clinically-diagnosed comparison groups were matched 1:1 to the primary cohort. Data were collected on mortality, clinical complications and healthcare utilisation from the electronic and pap..
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Awarded by Medical Research Council
Funding Acknowledgements
We are grateful for the support and assistance of the Fiji RHD Control Program and Fiji Ministry of Health and Medical Services, including the Health Information Unit. Terry Nolan, Jim Tulloch and Bo Remenyi provided valuable advice on study design. This project was supported by Cure Kids New Zealand. DE, SMC and ACS are supported by Australian National Health and Medical Research Council research fellowships. DE and ACS are also supported by National Heart Foundation of Australia fellowships. DE is also supported by the University of Melbourne Nossal Global Scholars program. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.