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Rheumatic Heart Disease in a developing country: incidence and trend (Monastir; Tunisia: 2000-2013)
Abstract Background The penicillin therapy of β hemolytic streptococcal pharyngitis has aided in the decrease of Rheumatic Heart Disease (RHD) in developing countries. Tunisia is an endemic area however, and incidence of RHD is weakly documented. We aimed at establishing the standardized incidence r...
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| Published in: | International journal of cardiology 2017-02, Vol.228, p.628-632 |
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| creator | Belguith, Asma Sriha Abdelkafi, Afifa Koubaa El Mhamdi, Sana fredj, Manel ben Abroug, Hela Salah, Arwa Ben Bouanene, Inès Hassine, Fahima Amara, Amal Bhiri, Sana Derbel, Abdelkarim Gamra, Habib Maatouk, Faouzi Soltani, Mohamed Soussi |
| description | Abstract Background The penicillin therapy of β hemolytic streptococcal pharyngitis has aided in the decrease of Rheumatic Heart Disease (RHD) in developing countries. Tunisia is an endemic area however, and incidence of RHD is weakly documented. We aimed at establishing the standardized incidence rate (SIR) of RHD in Monastir governorate, and determining RHD prevalence among hospitalized patients in two cardiology departments. Methods From the regional register of Monastir Hospital morbidity, we have selected newly diagnosed patients with RHD, residents of Monastir, and hospitalized to the 2 cardiology departments between 2000 to 2013 (2001 not included). Findings We studied 676 newly admitted patients. We estimate 1060 to be the number of new annual RHD cases in Tunisia. The SIR per 105 person-years was 10.97, being 9.3 in men and 19.1 in women respectively. We have notified a negative trend of crude incidence rate/105 Inhabitants (Inh) (CIR) (r = - 0.23, p < 10-3 ), and a strong positive correlation between age and CIR/105 Inh (r = 0.989, p < 10-4 ). RHD lethality was 1%. We have registered 728 hospitalizations for RHD, representing 2.5% of all cardiology hospitalizations [95% CI: 2.3-2.7%], with a prevalence for 13.3% for women aged 15 to 29 years. The median hospital stay was 9 days (IQR: 5-15). Conclusion Our results confirm the RHD incidence decrease, consistent with epidemiological transition in Tunisia. We have also emphasized on the close trend of RHD with age and the predominance of RHD among women especially at the procreation age. |
| doi_str_mv | 10.1016/j.ijcard.2016.11.249 |
| format | article |
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Tunisia is an endemic area however, and incidence of RHD is weakly documented. We aimed at establishing the standardized incidence rate (SIR) of RHD in Monastir governorate, and determining RHD prevalence among hospitalized patients in two cardiology departments. Methods From the regional register of Monastir Hospital morbidity, we have selected newly diagnosed patients with RHD, residents of Monastir, and hospitalized to the 2 cardiology departments between 2000 to 2013 (2001 not included). Findings We studied 676 newly admitted patients. We estimate 1060 to be the number of new annual RHD cases in Tunisia. The SIR per 105 person-years was 10.97, being 9.3 in men and 19.1 in women respectively. We have notified a negative trend of crude incidence rate/105 Inhabitants (Inh) (CIR) (r = - 0.23, p < 10-3 ), and a strong positive correlation between age and CIR/105 Inh (r = 0.989, p < 10-4 ). RHD lethality was 1%. We have registered 728 hospitalizations for RHD, representing 2.5% of all cardiology hospitalizations [95% CI: 2.3-2.7%], with a prevalence for 13.3% for women aged 15 to 29 years. The median hospital stay was 9 days (IQR: 5-15). Conclusion Our results confirm the RHD incidence decrease, consistent with epidemiological transition in Tunisia. We have also emphasized on the close trend of RHD with age and the predominance of RHD among women especially at the procreation age.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2016.11.249</identifier><identifier>PMID: 27883972</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Age ; Age Factors ; Aged ; Cardiovascular ; Developing Countries ; Female ; Gender ; Hospital ; Hospitalization - trends ; Humans ; Incidence ; Inpatients ; Male ; Middle Aged ; Prevalence ; Registries ; Retrospective Studies ; Rheumatic heart disease ; Rheumatic Heart Disease - epidemiology ; Sex Factors ; Trend ; Tunisia - epidemiology</subject><ispartof>International journal of cardiology, 2017-02, Vol.228, p.628-632</ispartof><rights>2016 Elsevier Ireland Ltd</rights><rights>Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-1d31ad381a2b5e17a92f972f1078403afb02088b444f13f51a46f04b47c155803</citedby><cites>FETCH-LOGICAL-c417t-1d31ad381a2b5e17a92f972f1078403afb02088b444f13f51a46f04b47c155803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27883972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Belguith, Asma Sriha</creatorcontrib><creatorcontrib>Abdelkafi, Afifa Koubaa</creatorcontrib><creatorcontrib>El Mhamdi, Sana</creatorcontrib><creatorcontrib>fredj, Manel ben</creatorcontrib><creatorcontrib>Abroug, Hela</creatorcontrib><creatorcontrib>Salah, Arwa Ben</creatorcontrib><creatorcontrib>Bouanene, Inès</creatorcontrib><creatorcontrib>Hassine, Fahima</creatorcontrib><creatorcontrib>Amara, Amal</creatorcontrib><creatorcontrib>Bhiri, Sana</creatorcontrib><creatorcontrib>Derbel, Abdelkarim</creatorcontrib><creatorcontrib>Gamra, Habib</creatorcontrib><creatorcontrib>Maatouk, Faouzi</creatorcontrib><creatorcontrib>Soltani, Mohamed Soussi</creatorcontrib><title>Rheumatic Heart Disease in a developing country: incidence and trend (Monastir; Tunisia: 2000-2013)</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>Abstract Background The penicillin therapy of β hemolytic streptococcal pharyngitis has aided in the decrease of Rheumatic Heart Disease (RHD) in developing countries. Tunisia is an endemic area however, and incidence of RHD is weakly documented. We aimed at establishing the standardized incidence rate (SIR) of RHD in Monastir governorate, and determining RHD prevalence among hospitalized patients in two cardiology departments. Methods From the regional register of Monastir Hospital morbidity, we have selected newly diagnosed patients with RHD, residents of Monastir, and hospitalized to the 2 cardiology departments between 2000 to 2013 (2001 not included). Findings We studied 676 newly admitted patients. We estimate 1060 to be the number of new annual RHD cases in Tunisia. The SIR per 105 person-years was 10.97, being 9.3 in men and 19.1 in women respectively. We have notified a negative trend of crude incidence rate/105 Inhabitants (Inh) (CIR) (r = - 0.23, p < 10-3 ), and a strong positive correlation between age and CIR/105 Inh (r = 0.989, p < 10-4 ). RHD lethality was 1%. We have registered 728 hospitalizations for RHD, representing 2.5% of all cardiology hospitalizations [95% CI: 2.3-2.7%], with a prevalence for 13.3% for women aged 15 to 29 years. The median hospital stay was 9 days (IQR: 5-15). Conclusion Our results confirm the RHD incidence decrease, consistent with epidemiological transition in Tunisia. We have also emphasized on the close trend of RHD with age and the predominance of RHD among women especially at the procreation age.</description><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Cardiovascular</subject><subject>Developing Countries</subject><subject>Female</subject><subject>Gender</subject><subject>Hospital</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>Incidence</subject><subject>Inpatients</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Rheumatic heart disease</subject><subject>Rheumatic Heart Disease - epidemiology</subject><subject>Sex Factors</subject><subject>Trend</subject><subject>Tunisia - epidemiology</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqFkcFu1DAQhi0EokvhDRDysRwSPLazdoqEhEqhSEVIUM6WY0_AIessdlJp3x6nWzhw4TLWaP6Zf_wNIc-B1cBg-2qow-Bs8jUvWQ1Qc9k-IBvQSlagGvmQbEpBVQ1X4oQ8yXlgjMm21Y_JCVdai1bxDXFffuCys3Nw9Aptmum7kNFmpCFSSz3e4jjtQ_xO3bTEOR3OS8EFj9EhtdHTOWGJZ5-maPMc0mt6s8SQgz2nvNhVZTfx8il51Nsx47P795R8e395c3FVXX_-8PHi7XXlJKi5Ai_AeqHB8q5BULblfdmxB6a0ZML2HeNM605K2YPoG7By2zPZSeWgaTQTp-TsOHefpl8L5tnsQnY4jjbitGQDWkrG5Va2RSqPUpemnBP2Zp_CzqaDAWZWvGYwR7xmxWsADL9re3HvsHQ79H-b_vAsgjdHAZZ_3gZMJruwwvIhoZuNn8L_HP4d4MYQg7PjTzxgHqYlxcLQgMncMPN1PfF6YdgKodpC-zfNbp8U</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Belguith, Asma Sriha</creator><creator>Abdelkafi, Afifa Koubaa</creator><creator>El Mhamdi, Sana</creator><creator>fredj, Manel ben</creator><creator>Abroug, Hela</creator><creator>Salah, Arwa Ben</creator><creator>Bouanene, Inès</creator><creator>Hassine, Fahima</creator><creator>Amara, Amal</creator><creator>Bhiri, Sana</creator><creator>Derbel, Abdelkarim</creator><creator>Gamra, Habib</creator><creator>Maatouk, Faouzi</creator><creator>Soltani, Mohamed Soussi</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Rheumatic Heart Disease in a developing country: incidence and trend (Monastir; 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Tunisia: 2000-2013)</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>228</volume><spage>628</spage><epage>632</epage><pages>628-632</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Abstract Background The penicillin therapy of β hemolytic streptococcal pharyngitis has aided in the decrease of Rheumatic Heart Disease (RHD) in developing countries. Tunisia is an endemic area however, and incidence of RHD is weakly documented. We aimed at establishing the standardized incidence rate (SIR) of RHD in Monastir governorate, and determining RHD prevalence among hospitalized patients in two cardiology departments. Methods From the regional register of Monastir Hospital morbidity, we have selected newly diagnosed patients with RHD, residents of Monastir, and hospitalized to the 2 cardiology departments between 2000 to 2013 (2001 not included). Findings We studied 676 newly admitted patients. We estimate 1060 to be the number of new annual RHD cases in Tunisia. The SIR per 105 person-years was 10.97, being 9.3 in men and 19.1 in women respectively. We have notified a negative trend of crude incidence rate/105 Inhabitants (Inh) (CIR) (r = - 0.23, p < 10-3 ), and a strong positive correlation between age and CIR/105 Inh (r = 0.989, p < 10-4 ). RHD lethality was 1%. We have registered 728 hospitalizations for RHD, representing 2.5% of all cardiology hospitalizations [95% CI: 2.3-2.7%], with a prevalence for 13.3% for women aged 15 to 29 years. The median hospital stay was 9 days (IQR: 5-15). Conclusion Our results confirm the RHD incidence decrease, consistent with epidemiological transition in Tunisia. We have also emphasized on the close trend of RHD with age and the predominance of RHD among women especially at the procreation age.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>27883972</pmid><doi>10.1016/j.ijcard.2016.11.249</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Age Age Factors Aged Cardiovascular Developing Countries Female Gender Hospital Hospitalization - trends Humans Incidence Inpatients Male Middle Aged Prevalence Registries Retrospective Studies Rheumatic heart disease Rheumatic Heart Disease - epidemiology Sex Factors Trend Tunisia - epidemiology |
| title | Rheumatic Heart Disease in a developing country: incidence and trend (Monastir; Tunisia: 2000-2013) |
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