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. 2020 Feb 27;25(8):1900393. doi: 10.2807/1560-7917.ES.2020.25.8.1900393

Table 1. Summary of outcomes of interest, systematic review about screening of migrants for Trypanosoma cruzi .

Outcome Number of studies Quality of evidence Impact
Patients with T. cruzi infection 26 observational studies
[5-7,9,22-43]
Low 1. Total pooled prevalence: 6% (95% CI: 3–10);
2. Among immigrants in general: 13% (95% CI: 7–21; I2 =  98.15%)
3. Pregnant women: 4% (95% CI: 2–7; I2 = 96.28%)
4. Blood donors: 0.42% (95% CI: 0.03–1.08%; I2 = 82.06)
Vertical transmission of T. cruzi infection 13 observational studies
[6,35-43,46,49,50]
Low 1. Pooled transmission rate: 3 per 100 live births (95% CI: 1–6; I2 = 21.40%)
2. Symptoms of infection in 20% (95% CI: 0–53; I2 = 32.4%)
Mild to moderate organ involvement: cardiovascular symptoms 9 observational studies
[6,7,9,24,29,45-48]
Low Cardiovascular disease: 19% (95% CI: 13–27%; I2 = 88.36%)
Mild to moderate organ involvement: digestive symptoms 9 observational studies
[7,24,25,28,29,45-48]
Low Gastrointestinal abnormalities: 5% (95% CI: 2–11; I2 = 89.62%)
Severe organ involvement 11 observational studies
[6,7,9,24,25,28,29,45-48]
Low 1. Severe cardiac events: 1% (95% CI: 0–2; I2 = 57.9%)
2. Severe gastrointestinal involvement (megasyndrome): 0% (95% CI: 0–1; I2 = 41.26%)
Indication for treatment 11 observational studies
[6,29,30,35,37,39,43,45-48]
Very low 1. Initiation of trypanocidal therapy: 81% (95% CI: 67–93; I2 = 93.25%)
2. End of treatment: 78% (95% CI: 65–89; I2 = 88.5%)
3. Treatment-related adverse effects: 47% (95% CI: 32–63; I2 = 90.45%)
Mortality 2 observational studies
[6,7]
Low Two reports of sudden cardiac death secondary to Chagas disease

CI: confidence interval.