{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:29:04Z","timestamp":1760956144533,"version":"3.41.2"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"20","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,10,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              RHD cases were identified from a centralized electronic health record system, which retrieved clinical encounters with RHD\n              <jats:italic>International Classification of Diseases, Tenth Revision, Clinical Modification<\/jats:italic>\n              (\n              <jats:italic>ICD\u201010\u2010CM<\/jats:italic>\n              ) codes, clinical problem lists referencing RHD, and antibiotic prophylaxis administration records; 3 RHD patient tracking spreadsheets; and an all\u2010cause mortality database. RHD cases had \u22651 clinical encounter with RHD\n              <jats:italic>ICD\u201010\u2010CM<\/jats:italic>\n              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 &lt;18\u00a0years and adults aged \u226518\u00a0years from 2016 to 2018 and the proportion of people with RHD with \u22651 clinical encounter with an RHD\n              <jats:italic>ICD\u201010\u2010CM<\/jats:italic>\n              code were estimated. From 2016 to 2018, RHD was documented in 327 people (57.2%: children aged &lt;18\u00a0years). 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 \u22651 clinical encounter with an RHD\n              <jats:italic>ICD\u201010\u2010CM<\/jats:italic>\n              code.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">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.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.120.020424","type":"journal-article","created":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T23:03:19Z","timestamp":1633647799000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Period Prevalence of Rheumatic Heart Disease and the Need for a Centralized Patient Registry in American Samoa, 2016 to 2018"],"prefix":"10.1161","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1226-6706","authenticated-orcid":false,"given":"Rebecca C.","family":"Woodruff","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GA"},{"name":"Division for Heart Disease and Stroke Prevention National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Chamblee GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ipuniuesea","family":"Eliapo\u2010Unutoa","sequence":"additional","affiliation":[{"name":"American Samoa Department of Health Faga'alu American Samoa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Chiou","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Gayapa","sequence":"additional","affiliation":[{"name":"Lyndon B. Johnson Tropical Medical Centers Faga'alu American Samoa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Noonan","sequence":"additional","affiliation":[{"name":"RHDAustralia Menzies School of Health Research Casuarina Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep S. B.","family":"Podila","sequence":"additional","affiliation":[{"name":"Public Health Informatics Fellowship Program Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Rayle","sequence":"additional","affiliation":[{"name":"Office of Insular Affairs Center for State, Tribal, Local, and Territorial Support Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ray","family":"Tulafono","sequence":"additional","affiliation":[{"name":"Lyndon B. Johnson Tropical Medical Centers Faga'alu American Samoa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris A.","family":"Van Beneden","sequence":"additional","affiliation":[{"name":"Division for Bacterial Diseases National Center for Immunization and Respiratory DiseasesCenters for Disease Control and Prevention Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1652-3581","authenticated-orcid":false,"given":"Matthew","family":"Ritchey","sequence":"additional","affiliation":[{"name":"Division for Heart Disease and Stroke Prevention National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Chamblee GA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61171-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)70156-7"},{"key":"e_1_3_2_4_2","first-page":"Cd002227","article-title":"Penicillin for secondary prevention of rheumatic fever","volume":"2002","author":"Manyemba J","year":"2002","unstructured":"Manyemba J, Mayosi BM. 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