静脉血栓塞栓症死亡率和美国老年人的趋势,2011-2019年
Katherine Giorgio1, Rob F Walker1, Richard F MacLehose1
1Division of Epidemiology & Community Health; School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
American journal of hematology
|June 27, 2023
概括
在老年人中静脉血栓塞栓症 (VTE) 后的死亡风险在过去十年中略有下降. 然而,在VTE结果中持续存在的种族和社会经济差异凸显了有针对性的干预措施的需要.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 静脉血栓栓塞 (VTE) 是一个严重的健康问题,每年在美国影响数百万人.
- 近几十年来,VTE诊断和治疗发生了变化,需要更新风险评估.
- 了解VTE后的死亡率趋势和差异对于改善患者结果至关重要.
研究的目的:
- 评估当代死亡风险概况和事件VTE后的趋势在美国老年人中.
- 检查人口亚组 (年龄,性别,种族/种族,社会经济地位) 中VTE死亡率的差异.
- 评估与癌症相关的VTE事件相关的死亡风险.
主要方法:
- 利用了2011-2019年医疗保险20%的样本,代表65岁及以上的个人.
- 链接了社会贫困指数数据,并使用了自我报告的种族/种族和性别.
- 在VTE后30天和1年使用基于模型的标准化,分析人口学子组和癌症诊断状态来计算所有原因的死亡率.
主要成果:
- 在VTE后的美国老年人中,30天的整体死亡风险为3.1%,一年的风险为19.6%.
- 与癌症相关的VTE具有更高的标准化风险:30天后6.0%,1年后34.7%.
- 在非白人受益者和具有较低社会经济地位 (SES) 的受益者中观察到更高的死亡风险. 一年死亡率每年下降0.28个百分点,没有30天的趋势.
结论:
- 在过去的十年中,VTE后的全因死亡率在老年人中略有下降.
- 在VTE死亡率方面,仍然存在显著的种族和社会经济差异.
- 了解人口统计和与癌症相关的VTE死亡率模式对于有针对性的管理策略至关重要.
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