Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018
Background Rheumatic heart disease (RHD) is a severe, chronic complication of acute rheumatic fever, triggered by group A streptococcal pharyngitis. Centralized patient registries are recommended for RHD prevention and control, but none exists in American Samoa. Using existing RHD tracking systems,...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-10-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.120.020424 |
| _version_ | 1797607123673153536 |
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| author | Rebecca C. Woodruff Ipuniuesea Eliapo‐Unutoa Howard Chiou Maria Gayapa Sara Noonan Pradeep S. B. Podila Victoria Rayle Guillermo Sanchez Ray Tulafono Chris A. Van Beneden Matthew Ritchey |
| author_facet | Rebecca C. Woodruff Ipuniuesea Eliapo‐Unutoa Howard Chiou Maria Gayapa Sara Noonan Pradeep S. B. Podila Victoria Rayle Guillermo Sanchez Ray Tulafono Chris A. Van Beneden Matthew Ritchey |
| author_sort | Rebecca C. Woodruff |
| collection | DOAJ |
| description | Background Rheumatic heart disease (RHD) is a severe, chronic complication of acute rheumatic fever, triggered by group A streptococcal pharyngitis. Centralized patient registries are recommended for RHD prevention and control, but none exists in American Samoa. Using existing RHD tracking systems, we estimated RHD period prevalence and the proportion of people with RHD documented in the electronic health record. Methods and Results RHD cases were identified from a centralized electronic health record system, which retrieved clinical encounters with RHD International Classification of Diseases, Tenth Revision, Clinical Modification (ICD‐10‐CM) codes, clinical problem lists referencing RHD, and antibiotic prophylaxis administration records; 3 RHD patient tracking spreadsheets; and an all‐cause mortality database. RHD cases had ≥1 clinical encounter with RHD ICD‐10‐CM codes, a diagnostic echocardiogram, or RHD as a cause of death, or were included in RHD patient tracking spreadsheets. Period prevalence per 1000 population among children aged <18 years and adults aged ≥18 years from 2016 to 2018 and the proportion of people with RHD with ≥1 clinical encounter with an RHD ICD‐10‐CM code were estimated. From 2016 to 2018, RHD was documented in 327 people (57.2%: children aged <18 years). Overall RHD period prevalence was 6.3 cases per 1000 and varied by age (10.0 pediatric cases and 4.3 adult cases per 1000). Only 67% of people with RHD had ≥1 clinical encounter with an RHD ICD‐10‐CM code. Conclusions RHD remains a serious public health problem in American Samoa, and the existing electronic health record does not include all cases. A centralized patient registry could improve tracking people with RHD to ensure they receive necessary care. |
| first_indexed | 2024-03-11T05:25:49Z |
| format | Article |
| id | doaj.art-6a6e5ce5b1e14e2ebf1f1303718da170 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-03-11T05:25:49Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-6a6e5ce5b1e14e2ebf1f1303718da1702023-11-17T17:29:46ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802021-10-01102010.1161/JAHA.120.020424Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018Rebecca C. Woodruff0Ipuniuesea Eliapo‐Unutoa1Howard Chiou2Maria Gayapa3Sara Noonan4Pradeep S. B. Podila5Victoria Rayle6Guillermo Sanchez7Ray Tulafono8Chris A. Van Beneden9Matthew Ritchey10Epidemic Intelligence Service Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GAAmerican Samoa Department of Health Faga'alu American SamoaEpidemic Intelligence Service Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GALyndon B. Johnson Tropical Medical Centers Faga'alu American SamoaRHDAustralia Menzies School of Health Research Casuarina AustraliaPublic Health Informatics Fellowship Program Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GAOffice of Insular Affairs Center for State, Tribal, Local, and Territorial Support Centers for Disease Control and Prevention Atlanta GAEpidemic Intelligence Service Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GALyndon B. Johnson Tropical Medical Centers Faga'alu American SamoaDivision for Bacterial Diseases National Center for Immunization and Respiratory DiseasesCenters for Disease Control and Prevention Atlanta GADivision for Heart Disease and Stroke Prevention National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Chamblee GABackground Rheumatic heart disease (RHD) is a severe, chronic complication of acute rheumatic fever, triggered by group A streptococcal pharyngitis. Centralized patient registries are recommended for RHD prevention and control, but none exists in American Samoa. Using existing RHD tracking systems, we estimated RHD period prevalence and the proportion of people with RHD documented in the electronic health record. Methods and Results RHD cases were identified from a centralized electronic health record system, which retrieved clinical encounters with RHD International Classification of Diseases, Tenth Revision, Clinical Modification (ICD‐10‐CM) codes, clinical problem lists referencing RHD, and antibiotic prophylaxis administration records; 3 RHD patient tracking spreadsheets; and an all‐cause mortality database. RHD cases had ≥1 clinical encounter with RHD ICD‐10‐CM codes, a diagnostic echocardiogram, or RHD as a cause of death, or were included in RHD patient tracking spreadsheets. Period prevalence per 1000 population among children aged <18 years and adults aged ≥18 years from 2016 to 2018 and the proportion of people with RHD with ≥1 clinical encounter with an RHD ICD‐10‐CM code were estimated. From 2016 to 2018, RHD was documented in 327 people (57.2%: children aged <18 years). Overall RHD period prevalence was 6.3 cases per 1000 and varied by age (10.0 pediatric cases and 4.3 adult cases per 1000). Only 67% of people with RHD had ≥1 clinical encounter with an RHD ICD‐10‐CM code. Conclusions RHD remains a serious public health problem in American Samoa, and the existing electronic health record does not include all cases. A centralized patient registry could improve tracking people with RHD to ensure they receive necessary care.https://www.ahajournals.org/doi/10.1161/JAHA.120.020424American Samoacardiovascular diseaseepidemiologyregistryrheumatic heart disease |
| spellingShingle | Rebecca C. Woodruff Ipuniuesea Eliapo‐Unutoa Howard Chiou Maria Gayapa Sara Noonan Pradeep S. B. Podila Victoria Rayle Guillermo Sanchez Ray Tulafono Chris A. Van Beneden Matthew Ritchey Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018 Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease American Samoa cardiovascular disease epidemiology registry rheumatic heart disease |
| title | Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018 |
| title_full | Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018 |
| title_fullStr | Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018 |
| title_full_unstemmed | Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018 |
| title_short | Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018 |
| title_sort | period prevalence of rheumatic heart disease and the need for a centralized patient registry in american samoa 2016 to 2018 |
| topic | American Samoa cardiovascular disease epidemiology registry rheumatic heart disease |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.120.020424 |
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