Epidemiology of Pediatric Hypertrophic Cardiomyopathy in a 10-Year Medicaid Cohort
Autor: | Deipanjan Nandi, Yinding Wang, Jeanette M. Jerrell, Emily A Hayes |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Pediatrics education.field_of_study business.industry Incidence (epidemiology) Population Hypertrophic cardiomyopathy Prevalence 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences Low birth weight 0302 clinical medicine 030228 respiratory system Pediatrics Perinatology and Child Health Cohort Epidemiology medicine cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine business education Medicaid |
Zdroj: | Pediatric Cardiology. 42:210-214 |
ISSN: | 1432-1971 0172-0643 |
Popis: | The epidemiologic data for pediatric hypertrophic cardiomyopathy (HCM) needs to be periodically updated as diagnostic techniques and management strategies improve. Herein, the incidence, prevalence, and mortality rates of pediatric HCM in a population-based treatment system are described. Patients aged ≤ 17 years and diagnosed with HCM on service visits over a 10-year period in one state Medicaid database (2007–2016) were analyzed. The cohort included 137 unique patients; 64.2% were male; 40.9% were African American; 42.3% were first diagnosed ≤ 24 months. The accrued 10-year prevalence rate for pediatric HCM was 1.2/1,000,000 and the annual incidence rate (CY 2010) was 1.3/100,000. Cardiac-related mortality was 2.9% in those who died cohort (N = 10); 70.0% of those who died were ≤ 13 months of age. Arrhythmia was diagnosed in 30.7% of the cohort, heart failure in 12.4%, and low birth weight in 8.8%. Inborn errors of metabolism were diagnosed in 8.0% of the cohort; malformation syndromes in 13.1%, and neuromuscular disorders in 2.9%; therefore, 75.9% were classified as idiopathic HCM. Our findings are somewhat higher than extant study estimates but update and augment them in representing a Southeast US statewide service system. |
Databáze: | OpenAIRE |
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