Why the study?
Does a heart disease screening program effectively identify congenital and rheumatic heart disease in elementary school children?
Does a heart disease screening program effectively identify congenital and rheumatic heart disease in elementary school children?
School-based screening in children aged 6-11 years is valuable for identifying unrecognized congenital and rheumatic heart disease and correcting false diagnoses.
Supports school screening for pediatric heart disease; hypothesis-generating and should not yet change practice.
A screening program for the purpose of estimating the prevalence rates for congenital and rheumatic heart disease was carried out among 6,311 children between the ages of 6 and 11 years. Among 165 children thus identified as requiring further study, a secondary program of examinations was carried out. The abnormalities discovered included 33 cases of congenital and 7 of rheumatic heart disease. The study revealed 29 cases of previously unrecognized cardiac abnormality but also relieved at least 15 children of a false diagnosis of heart disease. It was valuable not only in assuring some children of needed treatment but also in determining the diagnostic value of various physical findings.
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William E. Morton (1959) studied this question.
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