基于低收入和中等收入国家口头尸检的心血管疾病死亡率:系统审查
Ajay Acharya1, Hafizur Rahman Chowdhury2, Zulfikar Ihyauddin1
1The Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Level 5, 333 Exhibition St, Melbourne, Victoria, 3000 VIC, Australia.
心血管疾病 (CVD) 在低收入和中等收入国家造成大量死亡,占成年人死亡率的22.9%. 口头解剖对于改善心血管疾病数据收集和监测健康目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 心血管疾病 (CVD) 在低收入和中等收入国家 (LMICs) 造成了重大死亡负担.
- 低低收入国家经常缺乏关于心血管疾病死亡率的准确数据,这阻碍了有效的公共卫生干预.
- 口头尸检 (VA) 研究提供了一种方法,以确定正式医疗保健机构之外的死亡原因.
研究的目的:
- 系统地审查LMICs中现有的口头尸检研究.
- 估计可归因于心血管疾病 (CVD) 的总和分层死亡率部分.
- 为不同的人口和地区提供有关心血管疾病负担的见解.
主要方法:
- 在MEDLINE,Embase和Scopus数据库中进行系统的文献搜索.
- 包括来自LMIC报告心血管疾病死亡的VA研究.
- 数据提取和质量评估由两个独立的审查员进行,然后计算因特定原因的死亡率分数.
主要成果:
- 包括42项研究,在15岁及以上的个人中,心血管疾病总死亡率为22.9%.
- 心血管疾病死亡率在男性 (24.7%) 比女性 (20.9%) 高,但观察到区域差异.
- 缺血性心脏病 (12.3%) 和中风 (8.7%) 是导致心血管疾病的主要原因,69.4%的心血管疾病死亡发生在65岁及以上的人群中.
结论:
- 在LMIC中,大量的死亡是由于医疗机构以外的心血管疾病造成的.
- 在LMIC中扩大口头尸检覆盖范围对于改善心血管疾病死亡率监测至关重要.
- 增强的VA数据可以支持国家,区域和全球对心血管疾病的健康监测工作.
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