美国各县心血管死亡率的地域变化趋势和模式,1980-2014年
Gregory A Roth1, Laura Dwyer-Lindgren2, Amelia Bertozzi-Villa2
1Division of Cardiology, Department of Medicine, University of Washington, Seattle2Institute for Health Metrics and Evaluation, University of Washington, Seattle.
美国各个县的心血管疾病死亡率有很大差异,区域差异显著. 虽然整体发病率有所下降,但特定疾病如缺血性心脏病和中风仍存在显著差异.
科学领域:
- 流行病学
- 公共卫生
- 生物统计学
背景情况:
- 美国的心血管死亡率存在区域差异.
- 所有主要心血管疾病的县级估计数据以前都没有.
研究的目的:
- 估计美国各县的年龄标准化心血管疾病死亡率.
- 确定心血管疾病死亡率的地理差异.
主要方法:
- 利用国家卫生统计中心的非身份死亡记录和来自多个来源的人口数据 (美国人口普查局,NCHS,人类死亡数据库) 从1980年至2014年.
- 使用经过验证的小面积估计模型来计算各个心血管疾病的县级死亡率.
- 分析了3110个居住县的数据,重点是按县,年龄,性别和病因的标准化率.
主要成果:
- 尽管死亡率下降了一半 (下降了50.2%),但心血管疾病仍然是导致死亡的主要原因.
- 在密西西比河谷和美国东南部,死亡率存在显著的地理差异.
- 2014年死亡率的第90和第10百分位之间的比率在1.4 (大动脉动脉瘤) 到4.2 (高血压心脏病) 之间,表明存在很大差异.
结论:
- 心脏缺血病和中风的死亡率在各县之间存在显著差异.
- 对于心肌疾病,心房动,大动脉和外周动脉疾病,风湿性心脏病和内心炎,发现了较小但存在的差异.
更多相关视频
08:51Author Spotlight: Integrated Multi-Omics Analysis for Unveiling Multicellular Immune Signatures in Clinical Heart Attack Cohorts
Published on: September 20, 2024
07:51Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
相关概念视频
Factors Influencing Heart Rate
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Cardiac Output I:Effect of Heart Rate on Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Coronary Artery Disease II: Pathophysiology
Correlation between ECG and Cardiac Cycle
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
Coronary Artery Disease IV: Preventive Measures
Factors affecting Blood pressure
Physiological Factors:
