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一般人群中的先天性心脏病:流行率和年龄分布的变化
Ariane J Marelli1, Andrew S Mackie, Raluca Ionescu-Ittu
1McGill Adult Unit for Congenital Heart Disease, McGill University Health Center, 1650 Cedar Ave, Montreal, Quebec, Canada H3G 1A4. ariane.marelli@mcgill.ca
Circulation
|January 11, 2007
概括
从1985年到2000年,先天性心脏病 (CHD) 的患病率有所增加,成人患病率显著增加. 到2000年,成人和儿童在严重心血管疾病病例中占比几乎相等.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 关于先天性心脏病 (CHD) 流行病学变化的经验数据有限.
- 了解心血管疾病患病率和年龄分布的趋势对于医疗保健规划至关重要.
研究的目的:
- 确定严重和其他形式的冠状动脉疾病的流行率,年龄分布和成年人与儿童的比例.
- 分析CHD流行病学的趋势,从1985年到2000年.
主要方法:
- 利用管理数据库系统诊断和索赔记录从北克.
- 使用特定的诊断代码定义的严重心脏病 (例如,法洛的四分法,动脉).
- 1985年,1990年,1995年和2000年的严重和其他心血管疾病的计算流行率.
主要成果:
- 2000年,所有心脏病的患病率为每1000名成年人中有4.09,严重心脏病的患病率为每1000人中有0.38 (9%).
- 患有严重心血管疾病的患者的中位数年龄从1985年的11岁增加到2000年的17岁 (P<0.0001).
- 在1985年至2000年期间,严重心脏病的患病率在成年人中与儿童相比显著增加,成年人占2000年严重心脏病病例的49%.
结论:
- 严重心血管疾病患者的成年人患病率和中位数年龄都增加了.
- 到2000年,患有严重心脏病的成人和儿童的数量几乎相等.
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