Home > Review Articles > Child and youth health > Using preceding hospital admissions to identify children at risk of developing acute rheumatic fever

Using preceding hospital admissions to identify children at risk of developing acute rheumatic fever

Making Education Easy

From Māori Health Review Issue 74
Authors:
  • Oliver J et al.
Summary:

This analysis of NZ public hospital discharge data from 2000 through 2014 examined the effectiveness of using hospitalisations to identify children at subsequent risk of acute rheumatic fever (ARF). The national ARF prevention programme has introduced funding to improve housing. As the study researchers explain, effective tools are needed for targeting high-risk children at risk of ARF, so that all interventions yield the greatest benefit. Three potentially avoidable hospitalisation (PAH) groups were investigated, including diseases thought to be influenced by housing: (i) PAH conditions associated with the housing environment (PAHHE) group; (ii) the Crowding group; and (iii) the Ministry of Health (MoH) group. Nearly one‐third of ARF cases had previously experienced a PAH as children. Sensitivity for detecting future ARF ranged from <5% (MoH group) to 27% (PAHHE group). The number needed to screen to identify one ARF case ranged from 502.4 with the PAHHE group to 707.5 with the MoH group.

Comment:
See next paper.
Reference: J Paediatr Child Health. 2018;54(5):499-505
Abstract
Download Article
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

The co-creation of eating and wellbeing guidelines with rangatahi (young people) in Aotearoa New Zealand
The co-creation of eating and wellbeing guidelines with rangatahi (young people) in Aotearoa New Zealand

Rangatahi Māori have successfully co-created a set of eating and wellbeing guidelines for New Zealand

Find out more
New Zealand paediatric respiratory stock-take survey
New Zealand paediatric respiratory stock-take survey

A survey of health practitioners across New Zealand has highlighted inadequate staffing and provision of

Find out more
Paediatric eczema hospital admissions, and topical corticosteroid dispensing pre- and post-admission, in New Zealand From 2007 to 2019
Paediatric eczema hospital admissions, and topical corticosteroid dispensing pre- and post-admission, in New Zealand From 2007 to 2019

A national study of paediatric hospital admissions for eczema has found inequity in admissions for

Find out more
View All Reviews

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

Reviews

It looks like you are closest to our Australia site.

Australia
Australia
Stay on this site
Find Reviews in Your Clinical Area
Please select your country of practice.
New Zealand
Australia
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.