The prevalence of rheumatic heart disease in Ethiopia: a systematic review and meta-analysis.

IF 2.4 Q3 INFECTIOUS DISEASES
Hiwot Berhanu, Yimer Mekonnen, Abdulhalik Workicho, Kalkidan Hassen, Zenebe Negeri, Morankar Sudhakar, Shimelis Mitiku, Andualem Mossie
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Abstract

Globally, more than 33 million people are living with rheumatic heart disease (RHD). A high prevalence of the disease is observed in people with poor socio-economic status, overcrowding, and low access to medical facilities. Even though different studies have been conducted in different settings, there is no reliable data regarding RHD prevalence. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence of RHD in Ethiopia. PubMed/Medline, SCOPUS, HINARI, and Google Scholar databases were used to search for peer-reviewed articles. Articles published in English between the years 1992 and 2022 September were considered. The pooled prevalence of RHD was calculated using a random-effect model at a 95% confidence interval, including the weight of each study. Finally, statistical meta-analysis STATA version 16.0 software was used to calculate the pooled prevalence of RHD.A total of twelve cross-sectional studies were included in the meta-analysis. Individual study prevalence ranges from 0.32 to 32.78%. The pooled prevalence of RHD was 3.19% (95% CI: 1.46-5.56%). The prevalence was higher among the population who visited hospitals at 5.42% (95% CI: 1.09-12.7%) compared to schoolchildren at 0.73% (95% CI: 0.30-1.34%) and community-based studies at 3.83% (95% CI: 3.16-4.55%). Addis Ababa had the lowest prevalence of RHD (0.75% (95% CI: 0.38-1.25%), whereas the highest prevalence was observed in the Amhara region (8.95% (95% CI: 7.21-11.06%). A significant variation in the overall estimated prevalence of RHD was not observed between males and females.Trial registration Protocol registration (PROSPERO): CRD42021251553, Date of registration May 28 2021.

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埃塞俄比亚风湿性心脏病的患病率:一项系统综述和荟萃分析。
全球有3300多万人患有风湿性心脏病。在社会经济地位差、过度拥挤和难以获得医疗设施的人群中,这种疾病的流行率很高。尽管在不同的环境中进行了不同的研究,但没有关于RHD患病率的可靠数据。因此,本系统综述和荟萃分析的目的是估计埃塞俄比亚RHD的合并患病率。PubMed/Medline、SCOPUS、HINARI和Google Scholar数据库用于搜索同行评审文章。考虑了1992年至2022年9月期间以英文发表的文章。RHD的合并患病率是使用95%置信区间的随机效应模型计算的,包括每项研究的权重。最后,统计荟萃分析STATA 16.0版软件用于计算RHD的合并患病率。共有12项横断面研究纳入荟萃分析。个体研究的患病率为0.32%至32.78%。RHD的合并患病率为3.19%(95%CI:1.46-5.56%)。与0.73%(95%CI:0.30-1.34%)的学童和3.83%(95%CI:3.16-4.55%)的社区研究相比,去医院就诊的人群的患病率更高,为5.42%(95%CI:1.09-12.7%)。亚的斯亚贝巴的RHD患病率最低(0.75%(95%CI:0.38-1.25%),而阿姆哈拉地区的患病率最高(8.95%(95%CI:7.21-11.06%)。男性和女性之间未观察到RHD总体估计患病率的显著差异。试验注册协议注册(PROSPERO):CRD42021251553,注册日期2021年5月28日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.20
自引率
0.00%
发文量
25
审稿时长
17 weeks
期刊介绍: Tropical Diseases, Travel Medicine and Vaccines is an open access journal that considers basic, translational and applied research, as well as reviews and commentary, related to the prevention and management of healthcare and diseases in international travelers. Given the changes in demographic trends of travelers globally, as well as the epidemiological transitions which many countries are experiencing, the journal considers non-infectious problems including chronic disease among target populations of interest as well as infectious diseases.
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