与心房动相关的缺血性中风的全球和区域负担,2009-2019年
Sumudu Hewage1, Amarzaya Jadamba1, David Brain1
1Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Australia.
Preventive medicine
|June 22, 2023
概括
在全球范围内,心房动 (AF) 显著导致可预防的缺血性中风. 优化AF管理对于减少中风发病率和改善全球患者的治疗结果至关重要.
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:
- 心房动 (AF) 是已知的缺血性中风的危险因素.
- 可归因于AF的缺血性中风的确切全球负担仍然不清楚.
- 估计这种负担对于有针对性的公共卫生干预至关重要.
研究的目的:
- 量化AF相关的缺血性中风的全球和区域负担.
- 分析2009年至2019年的发病率,流行率,死亡率和残疾调整寿命年 (DALY) 的趋势.
- 突出需要改进AF管理策略的需要.
主要方法:
- 使用比较风险评估方法.
- 来源人口从已发表的文献中可归因的分数.
- 雇佣全球疾病负担研究数据用于中风指标 (患病率,发病率,死亡率,DALY).
主要成果:
- 在2019年,AF相关的缺血性中风导致全球估计有070万例事件病例,690万例流行病例,030万例死亡和570万例DALY.
- 根据年龄标准化的死亡率和DALY率在全球范围内下降 (2009-2019).
- 根据年龄标准化的发病率和流行率仅在特定的高收入和中等收入地区下降.
结论:
- 与AF相关的缺血性中风对全球的健康负担很大.
- 虽然一些指标有所改善,但区域差异仍然很大.
- 迫切需要优化AF管理和干预措施,以减少可预防的中风.
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