与本地人相比,移民的心肌损伤后的死亡风险:系统性审查和元分析
Lei Zhu1, Bao-Tao Huang1, Mao Chen1
1Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Frontiers in cardiovascular medicine
|June 9, 2023
概括
与本地人相比,移民在心肌梗塞 (MI) 后死亡的风险更高,特别是在长期内. 这突显了心血管健康方面的差异,需要进一步关注和研究.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于移民与本地人心肌梗塞 (MI) 后死亡风险的证据有限且混杂.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 系统地评估和比较移民人口与本地人口的心肌梗塞 (MI) 后的死亡风险.
主要方法:
- 进行了对队列研究的系统审查和元分析,搜索了Medline和Embase.
- 包括6项涉及34,835名移民和284,629名本地人的研究.
- 用纽卡斯尔-太华尺度评估数据质量;使用随机效应模型计算聚合估计.
主要成果:
- 在心脏病发作后的综合调整所有原因死亡率在移民中明显高 (OR,1.24;95% CI,1.10-1.39).
- 移民的长期 (5-10年) 后心脏病死亡率较高,但短期 (30天,1-3年) 死亡率没有显著差异.
- 来自欧洲,非洲和拉丁美洲的移民呈现出更高的后MI死亡率,与亚洲人不同.
结论:
- 移民在心脏病发作后面临更高的长期死亡风险,可能是由于社会经济因素,压力和获得医疗保健的差异.
- 需要进一步的研究来证实这些发现,并改善移民人口的心血管健康结果.
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