心不全の病因,治療方法,結果における世界各地の違い
, Philip Joseph1, Ambuj Roy2
1Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
JAMA
|May 16, 2023
まとめ
心不全 (HF) のアウトカムは,国の所得レベルによって大きく異なります. 低所得国は高死亡率と30日間の死亡率に直面し,HFのケアにおける世界的な格差を強調しています.
科学分野:
- 心臓病科
- 世界保健
- 流行病学
背景:
- 心不全 (HF) の流行病学的データは主に高所得国からのもので,世界的な理解を制限しています.
- HFの病因,治療,および結果には,経済発展の異なるレベルにおいて大きな差異がある.
研究 の 目的:
- 経済的状況が異なる国々の心不全 (HF) の原因,治療法,患者の結果の違いを調査する.
- 世界的なHF予防と管理戦略の改善のためのデータを提供すること.
主な方法:
- 多国籍の登録には 40か国から23,341人の参加者が含まれており 高所得者,中所得者,中所得者,低所得者に分類されています.
- フォローアップは平均2. 0年間行われ,HFの病因,薬剤使用,入院,死亡率を評価した.
主要な成果:
- 心臓発作と高血圧が最も一般的な原因でした. 最適なHF薬の使用率は 低所得国において最も低かった.
- 標準化された死亡率と入院後30日間の死亡率は,低所得国ではかなり高かった.
- 低所得国では高所得国と比較して病院入院率が低減した.
結論:
- HFの病因,管理,および結果において,経済レベルによって大きな違いが観察されました.
- 研究結果は,HFの格差に対処し,世界中の患者のケアを改善するために,世界規模で策定された戦略の必要性を強調しています.
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