Bülent KOÇER, Gültekin GÜLBAHAR, Neslihan GÜLAY PERİ, Yücel AKKAŞ, Fatma Nur BARAN AKSAKAL

The prevalence of chest wall deformity in Turkish children

Background/aim: This study aimed to identify children who have chest wall deformity, the prevalence of deformity, and the factorsaffecting the psychological and physical disorders caused by the deformity.Materials and methods: The study was conducted among 14,108 girls and boys aged 11–14 years, who were 5th–8th grade secondaryschool students in Ankara Province between October 2014 and March 2015.Results: Of the 14,108 students in our study, the mean age of the children was 12.53 ± 1.11 years (median 12.54, 11–14 years) andchest wall deformity was detected in 199 (1.41%) students. Male/female and pectus carinatum/pectus excavatum ratios were 2.16 and1.59, respectively. According to multivariate logistic regression analysis, physical disturbance was found to be statistically significantlyhigher among children in age group 11 [adjusted OR (95% CI) =16.01 (1.89–135.61), P < 0.011] and in children who were aware of thedeformity [adjusted OR (95% CI) = 0.31 (0.13–0.71), P < 0.006], and psychological disturbance was found to be statistically significantlyhigher in girls [adjusted OR (95% CI) = 15.44 (1.68–141.59), P < 0.015] and in those with a presence of family history [adjusted OR(95% CI) = 18.66 (1.92–181.60), P < 0.012].Conclusion: In this study conducted in a large population, chest wall deformities were found to be more prevalent in boys (0.96%) andpectus carinatum was found as the most common deformity type in our country, contrary to the literature.

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