Key result
Echocardiography screening identifies rheumatic heart disease in ~22 per 1000 Nigerian secondary schoolchildren.
Why the study?
Epidemiological data on rheumatic heart disease prevalence in North-Central Nigeria were lacking, especially among secondary schoolchildren.
Population
417 randomly selected secondary schoolchildren in Jos, North-Central Nigeria
Comparison
Clinical screening vs echocardiography screening for RHD detection
Design
School-based cross-sectional pilot study
Authors
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May support targeted echo screening in endemic regions; leaves open progression risk and screening efficacy.
Cross-Sectional (n=417)
No
Echocardiographic screening of schoolchildren in North-Central Nigeria revealed a high prevalence of rheumatic heart disease (21.6 per 1000), predominantly asymptomatic borderline lesions missed by clinical auscultation.
Nkereuwem et al. (2020) conducted a cross-sectional in Rheumatic heart disease (n=417). Clinical and echocardiography screening was evaluated on Prevalence of rheumatic heart disease (per 1000) (95% CI 6.7-36.5). Echocardiography screening of secondary schoolchildren in North-Central Nigeria revealed a rheumatic heart disease prevalence of 21.6 per 1000 (95% CI, 6.7-36.5), mostly asymptomatic borderline lesions.