Identification of cases of acute rheumatic fever managed on an outpatient basis.
The incidence of acute rheumatic fever has varied over the past several decades.
The usual source of case ascertainment has been medical record discharge diagnosis coding.
By reviewing both the Children's Hospital of Pittsburgh medical records discharge data and the Division of Cardiology computer database for the years 1982 to 1993,173 cases of acute rheumatic fever were identified including 63 patients who were managed exclusively as outpatients.
Seventy-three percent of patients diagnosed before 1990 were managed as inpatients, compared with 48% of patients diagnosed 1990 and later.
The incidence of acute rheumatic fever may be underestimated if patients managed without hospitalization are not identified.
Mots-clés Pascal : Appareil circulatoire pathologie, Système nerveux pathologie, Système ostéoarticulaire pathologie, Epidémiologie, Enfant, Homme, Adolescent, Rhumatisme articulaire aigu, Streptococcie, Bactériose, Infection, Endocardite, Endocarde pathologie, Incidence, Pennsylvanie, Etats Unis, Amérique du Nord, Amérique, Cardiopathie
Mots-clés Pascal anglais : Cardiovascular disease, Nervous system diseases, Diseases of the osteoarticular system, Epidemiology, Child, Human, Adolescent, Rheumatic fever, Streptococcal infection, Bacteriosis, Infection, Endocarditis, Endocardial disease, Incidence, Pennsylvania, United States, North America, America, Heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0042008
Code Inist : 002B05B02N. Création : 01/03/1996.