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对急性大动脉解剖发生率和死亡率的基于人口的研究
Shuji Moriyama1, Masahiko Hara1, Takafumi Hirota1
1Department of Cardiovascular Surgery, Kumamoto Rosai Hospital.
概括
急性大动脉解剖 (AAD) 的发生率正在上升,特别是在老年人中. 这项研究揭示了AAD比以前认为的更高的发病率,85岁及以上的人死亡风险增加.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 急性大动脉解剖 (AAD) 是一种严重的心血管疾病,患病率和死亡率很高.
- 最近的数据表明AAD的发病率越来越高,但精确的流行病学数据仍然有限.
- 了解AAD流行病学对于公共卫生干预至关重要.
研究的目的:
- 调查一个定义的地理区域内急性大动脉解剖 (AAD) 的当前发病率和死亡率.
- 分析与AAD相关的人口趋势和特定年龄的风险.
- 为AAD提供最新的流行病学见解.
主要方法:
- 在2011年1月至2020年12月期间,对196名被诊断患有AAD的患者进行了回顾性,基于人口的评估.
- 数据收集包括患者人口统计,AAD类型 (斯坦福A/B),发病率和30天死亡率.
- 计算每10万居民的原始和年龄标准化发病率和死亡率.
主要成果:
- 该研究发现,原始和年龄标准化的ADD发病率分别为每10万人/年13.6和11.4.
- 原始和年龄标准化的30天AAD死亡率分别为每10万人/年4.9和4.0.
- 随着年龄的增长,AAD发病率和死亡率呈现出显著的上升趋势,特别是在85岁及以上的个体中.
结论:
- 这项以人口为基础的研究表明,AAD的发病率高于之前报告的.
- 该研究发现,年龄增长与ADD发病率和死亡率升高之间存在着显著的关联.
- 调查结果强调需要持续监测和针对年龄的ADD管理策略.
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