回顾中风死亡率的最近趋势,美国,1999-2020年
Udeh C Mercy1, Kameron Farhadi2, Ayobami S Ogunsola1
1Department of Epidemiology & Biostatistics, Texas A&M University, 212 Adriance Lab Rd., College Station, TX 77843-1266, United States of America.
Journal of the neurological sciences
|July 8, 2023
概括
美国中风死亡率下降到2012年,然后开始增加,特别是在年轻人和少数群体中. 这一逆转凸显了更新公共卫生战略的必要性,以应对不断上升的中风死亡率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 以前的研究表明,美国中风死亡率趋势放缓或逆转.
- 最近的数据对于有效的公共卫生干预和资源分配至关重要.
研究的目的:
- 评估美国中风死亡率的当代时间趋势.
- 利用国家数据分析1999年至2020年中风死亡率.
主要方法:
- 使用了来自CDC WONDER (1999-2020) 的国家死亡率数据.
- 使用ICD-10代码 (I60-I69) 识别的中风死亡人数.
- 雇佣的joinpoint分析和移动平均值,以评估按年龄调整的人口统计和地区的死亡率趋势.
主要成果:
- 从1999年到2012年,中风死亡率下降,然后每年增加0.5% (2012-2020年).
- 自2012年以来,非西班牙裔黑人 (1.3%) 和西班牙裔 (1.7%) 显著增加.
- 非西班牙裔白人,亚洲人/太平洋岛民和美洲印第安人/阿拉斯加原住民的趋势停滞不前;男性和年轻年龄组 (<65岁) 的增长.
- 只有东北地区的下降持续;在南方和西部地区的增长.
结论:
- 美国中风死亡率的长期下降不再持续.
- 最近增加的原因尚不清楚,但可能涉及到人口风险因素的变化.
- 需要进一步的研究来确定有针对性的干预措施的驱动因素.
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