The clinical characteristics of adults with rheumatic heart disease in Yangon, Myanmar: An observational study

Autor: Myint Soe Win, Nan Phyu Sin Toe Myint, Josh Hanson, David A. Cooper, Ne Myo Aung, Anna P. Ralph, Mar Mar Kyi, Myo Lwin Nyein, Thu Ya Htut
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Clinical audit
Male
Pediatrics
Heart disease
lcsh:Medicine
Disease
Myanmar
030204 cardiovascular system & hematology
Cardiovascular Medicine
Diagnostic Radiology
Tertiary Care Centers
Geographical Locations
Electrocardiography
0302 clinical medicine
Interquartile range
Ultrasound Imaging
Atrial Fibrillation
Prevalence
Medicine and Health Sciences
030212 general & internal medicine
Prospective Studies
Young adult
Prospective cohort study
lcsh:Science
Aged
80 and over
Multidisciplinary
Radiology and Imaging
Middle Aged
3. Good health
Bioassays and Physiological Analysis
Cardiovascular Diseases
Echocardiography
Female
Radiography
Thoracic
Arrhythmia
Research Article
Adult
medicine.medical_specialty
Asia
Adolescent
Imaging Techniques
Cardiology
Surgical and Invasive Medical Procedures
Research and Analysis Methods
03 medical and health sciences
Young Adult
Diagnostic Medicine
medicine
Parasitic Diseases
Humans
Aged
Clinical Audit
business.industry
Electrophysiological Techniques
lcsh:R
Rheumatic Heart Disease
medicine.disease
Tropical Diseases
Malaria
People and Places
Observational study
lcsh:Q
Cardiac Electrophysiology
business
Follow-Up Studies
Zdroj: PLoS ONE, Vol 13, Iss 2, p e0192880 (2018)
PLoS ONE
ISSN: 1932-6203
Popis: Background Rheumatic heart disease (RHD) is a major cause of premature death in low and middle-income countries. The greatest barrier to RHD control is neglect of the disease in national health policies and a lack of prevalence data that might inform control efforts. Myanmar is making remarkable progress against many infectious diseases, but there are almost no data to define the clinical burden of RHD in the country. This prospective audit was performed in an adult medical ward of a tertiary-referral hospital in Yangon, to gain an insight into the prevalence of RHD in Myanmar. Principal findings All patients admitted to the ward between May 1, 2016 and April 30, 2017 were eligible for enrolment. RHD was confirmed in 96 patients who were admitted on 134 occasions, representing 1.1% of the 12,172 adult medical admissions during the study period. This compared with 410 (3.4%) admissions with HIV and 14 (0.1%) with malaria. Patients with RHD had a median age of 44 years (interquartile range: 35–59); 70 (73%) were female. Only one patient had ever had surgery despite 79 (82%) meeting criteria for intervention; 54 (56%) patients were not receiving any regular clinician review. Prior to hospitalisation only 18 (19%) patients were receiving regular penicillin. Only 8 (19%) of the 42 women
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje