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BEAT-IT:马耳他青少年的一项新的心脏查计划
Mark Abela1, Kentaro Yamagata2, John Bonello2
1Department of Cardiology, Mater Dei Hospital, Tal-Qroqq, Malta; Medical School, University of Malta, Malta; St George's, University of London, London, United Kingdom.
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
|September 24, 2023
概括
一个全国性的心脏查计划适用于青少年是可行的和具有成本效益. 这项研究发现,查15岁的参与者在0.3%的参与者中发现了与突发心脏病死亡有关的心脏病.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 在年轻人中,突然心脏死亡 (SCD) 是一个重大问题,导致情绪困扰.
- 心脏查可以确定与SCD相关的潜在疾病.
- 全国青少年心脏查计划的可行性和诊断收益率仍然未被探索.
研究的目的:
- 评估全国性青少年心脏查计划的可行性和诊断产量.
- 评估参与率,对二次评估的坚持以及成本效益.
- 在青少年群体中识别心脏病,特别是与SCD相关的心脏病.
主要方法:
- 系统地邀请符合条件的15岁学生参加查计划.
- 在现场进行了健康问卷,在学校获得的心电图 (ECG) 和由医生领导的咨询.
- 可行性标准包括参与率>60%,对二次评估的坚持>80%,每个被查的人的成本<100欧元.
主要成果:
- 共有2708名学生 (67.9%的符合条件的队列) 参与,其中4.0%的学生被转到进一步评估.
- 异常心电图是最常见的转诊原因 (3.7%);0.6%被诊断患有心脏病,0.3%患有与SCD相关的疾病.
- 每个被查的人的成本为51.15欧元,运动员和非运动员的收益率相似.
结论:
- 一个全国性的系统性心脏查计划为青少年是可行的和成本效益.
- 该计划成功识别了心脏病患者,包括与SCD相关的人.
- 实施需要在负责中心内建立适当的基础设施.
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