Screening for rheumatic heart disease in Aboriginal and Torres Strait Islander children

Rémond, Marc Gerard Wootton, Wark, Emma Kathleen, and Maguire, Graeme Paul (2013) Screening for rheumatic heart disease in Aboriginal and Torres Strait Islander children. Journal of Paediatrics and Child Health, 49 (7). pp. 526-531.

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View at Publisher Website: http://dx.doi.org/10.1111/jpc.12215
 
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Abstract

Rheumatic heart disease is preventable but causes significant morbidity and mortality in Aboriginal Australian and Torres Strait Islander populations. Screening echocardiography has the potential to detect early rheumatic heart disease thereby enabling timely commencement of treatment (secondary prophylaxis) to halt disease progression. However, a number of issues prevent echocardiographic screening for rheumatic heart disease satisfying the Australian criteria for acceptable screening programs. Primarily, it is unclear what criteria should be used to define a positive screening result as questions remain regarding the significance, natural history and potential treatment of early and subclinical rheumatic heart disease. Furthermore, at present the delivery of secondary prophylaxis in Australia remains suboptimal such that the potential benefits of screening would be limited. Finally, the impact of echocardiographic screening for rheumatic heart disease on local health services and the psychosocial health of patients and families are yet to be ascertained.

Item ID: 22251
Item Type: Article (Refereed Research - C1)
Keywords: Aborigines; Australian; echocardiography; prophylaxis; rheumatic heart disease; screening
ISSN: 1440-1754
Date Deposited: 17 May 2013 02:46
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110201 Cardiology (incl Cardiovascular Diseases) @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 100%
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