What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Scoliosis and congenital heart disease (n=17134). Intervention: Scoliosis and congenital heart disease screening. Primary outcome: Prevalence of suspected scoliosis and congenital heart disease.

What question did this study set out to answer?

To determine the prevalence of scoliosis and congenital heart disease among school-aged children and evaluate the potential relationship between the two conditions.

February 25, 2025Frontiers in Public HealthOpen Access

Prevalence of scoliosis and congenital heart disease based on school screening in Jinghong City, Yunnan Province

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Key result

School screening of 17,134 students in Jinghong City revealed a suspected scoliosis prevalence of 1.74% and a congenital heart disease prevalence of 0.315%, with only one case of co-occurrence.

Why the study?

To investigate the prevalence of scoliosis and congenital heart disease in the same area and explore the relationship between them using joint school screening.

Key Points

To determine the prevalence of scoliosis and congenital heart disease among school-aged children and evaluate the potential relationship between the two conditions.
A cross-sectional joint screening was conducted across 20 schools in Jinghong City, Yunnan Province, China, evaluating N=17,134 students aged 6–15 years.
Scoliosis was assessed using the Adam's forward bending test paired with a scoliometer, while congenital heart disease (CHD) was evaluated via cardiac auscultation and portable echocardiography.
Suspected scoliosis prevalence was 1.7% (298 students), with higher rates in females than males (2.4% vs. 1.2%, P < 0.001) and increasing prevalence with age (P < 0.01); most cases were mild grade 1 (68.5%) and primarily located in the lumbar region (37.6%).
Congenital heart disease prevalence was 3.15‰, predominantly featuring atrial septal defects (27.78%) and ventricular septal defects (16.67%), without significant differences across gender, age, or ethnic groups (P > 0.05).
Only 1 student among the 298 with suspected scoliosis also had congenital heart disease, showing no increased rate compared to the general screening population.

Study Design

Type

Cross-Sectional (n=17,134)

Multicenter

Yes

Structured PICO

Population

17,134 primary school students aged 6 to 15 years in Jinghong City, China, who underwent joint screening for scoliosis and congenital heart disease.

Exposure

School screening for scoliosis (Adam's forward bending test with scoliometer) and congenital heart disease (auscultation combined with portable echocardiography)

Outcome

Prevalence of scoliosis and congenital heart disease

School screening in Jinghong City, China revealed a scoliosis prevalence of 1.74% and CHD prevalence of 3.15‰, with no significant association between mild scoliosis and CHD.

Limitations

Relatively low proportion of adolescents in the screened population
Unknown whether surveyed children will develop scoliosis with age
Low incidence and small number of patients limited in-depth analysis of risk factors
Screening methods used were not the gold standard for scoliosis diagnosis

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Minimal overlap observed suggests limited value for routine joint screening; leaves open any causal link for prospective confirmation.

Cite This Study

Zhang et al. (2025) conducted a cross-sectional in Scoliosis and congenital heart disease (n=17,134). Scoliosis and congenital heart disease screening was evaluated on Prevalence of suspected scoliosis and congenital heart disease. School screening of 17,134 students in Jinghong City revealed a suspected scoliosis prevalence of 1.74% and a congenital heart disease prevalence of 0.315%, with only one case of co-occurrence.

synapsesocial.com/papers/6a954f8477bd7906860f3ebd https://doi.org/10.3389/fpubh.2025.1517542

Topics

Congenital heart disease adults

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Prevalence of scoliosis and congenital heart disease based on school screening in Jinghong City, Yunnan Province

Key Points

Study Design

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

Prevalence of scoliosis and congenital heart disease based on school screening in Jinghong City, Yunnan Province

Key Points

Study Design

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider