How are the people in developing countries treated?
A research on rheumatic heart disease (RHD) in Western and Central Africa has been done to study the clinical characteristics and treatment of patients with RHD hospitalized in sub-Saharan Africa from 2004 to 2008.
According to the research, the hospitalized patients are socially disadvantaged and young. Most of them have a high mortality rate and extremely low access to surgery. Because of poverty and low educational level in the area, the severity of RHD is increased greatly, which also leads to left ventricular dysfunction.
The low hospitalized rate in the area is stunning. Among 2056 patients with mild RHD lesions, only 17.4% (358) receive treatments in hospital. Therefore, the outcomes are not positive, which includes death (16%), heart failure (62%), arrhythmias (22%), endocarditis (4%) and thromboembolic events (4%). 13.6% of them were readmitted.
Keywords: rhd hospital