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Kidney Dysfunction-Associated Intracerebral Haemorrhage: Global Trends and Regional Disparities (1990-2021)
Lili Tang1,2, Hu Jiang3, Hongtao Zhang2
1The State Key Laboratory of Quality Research in Chinese Medicine, Faculty of Chinese Medicine, Macau University of Science and Technology, Macau, China.
The global burden of kidney dysfunction-associated intracerebral haemorrhage (KD-ICH) increased in absolute terms from 1990-2021, with significant health disparities. Targeted prevention and resource allocation are crucial to address this growing challenge.
Area of Science:
- Neurology
- Nephrology
- Global Health Epidemiology
Background:
- Kidney dysfunction is a growing risk factor for intracerebral haemorrhage (ICH).
- The global burden and trends of kidney dysfunction-associated ICH (KD-ICH) remain underexplored.
- Understanding KD-ICH burden is critical for public health interventions.
Purpose of the Study:
- To systematically evaluate the global burden, trends, health disparities, and future projections of KD-ICH from 1990 to 2021.
- To analyze KD-ICH impact across different demographic and socioeconomic strata.
- To inform targeted strategies for KD-ICH prevention and management.
Main Methods:
- Utilized data from the Global Burden of Disease Study 2021.
- Estimated deaths, DALYs, and age-standardized rates (ASMR, ASDR).
- Analyzed temporal trends (EAPC) and health inequalities (SII, concentration index), with future projections (ARIMA models).
Main Results:
- Absolute KD-ICH burden increased (deaths: 241,229 to 329,737; DALYs: 6.23M to 8.05M) despite declining age-standardized rates.
- Older adults (60-79) and males were disproportionately affected.
- Disparities were evident, with high burden concentration in low/middle-SDI regions and widening global inequities.
Conclusions:
- The rising absolute burden and significant health inequities of KD-ICH necessitate context-specific prevention.
- Improved chronic disease management and increased health system investment are vital.
- Equitable resource allocation is essential to mitigate future KD-ICH burden and address disparities.
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