证据表明,澳大利亚的风湿性心脏病控制计划正在产生影响
Ingrid Stacey1, Anna Ralph2, Jessica de Dassel3
1School of Population and Global Health, The University of Western Australia, Australia.
Australian and New Zealand journal of public health
|June 26, 2023
概括
澳大利亚风湿性心脏病 (RHD) 控制计划改善了二次预防的交付,减少了严重的RHD进展. 然而,急性类风湿性发烧 (ARF) 病例增加,凸显了加强初级预防策略的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 风湿性心脏病 (RHD) 是一种由急性风湿性发烧 (ARF) 引起的膜心脏病.
- 澳大利亚的RHD控制计划旨在检测和管理ARF和RHD.
- 评估计划运行期间的流行病学变化对于评估有效性至关重要.
研究的目的:
- 评估2010年至2017年期间澳大利亚RHD控制计划的流行病学影响.
- 评估ARF/RHD结果的变化,包括疾病进展,复发和预防.
主要方法:
- 利用了来自澳大利亚四个司法管辖区的链接RHD注册,医院和死亡数据.
- 分析了结果,例如2年的进展到严重的RHD/死亡,ARF复发和二次预防的交付.
- 在研究期间检测疾病和病例数量的研究趋势.
主要成果:
- 二次预防的覆盖率从53%增加到70%,覆盖日数的中位数比例.
- 坚持二级预防与严重RHD/死亡 (HR 0.2) 的进展显著减少有关.
- ARF病例数和并发ARF/RHD诊断数量增加,而其他计划有效性指标保持稳定.
结论:
- 通过改进的二次预防,RHD控制计划已经增强了ARF/RHD管理.
- 增加的ARF病例数,并没有受到二次预防的直接影响,表明意识或监测的提高.
- 持续投资RHD控制计划至关重要,同时加强了原始和初级预防工作.
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