1999年至2022年拉里奥哈 (西班牙) 中中风死亡率的趋势
Enrique Ramalle-Gómara1, María-Isabel Palacios-Castaño1, Eva Martínez-Ochoa1
1Epidemiology and Health Promotion Department. La Rioja Regional Authority, 26071 Logroño, Spain.
概括
从1999年到2022年,中风死亡率在拉里奥哈显著下降,与缺血性中风相比,出血性中风的下降更大. 在大多数年龄组中,整体中风死亡人数下降,但趋势因性别和中风亚型而异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 在历史上,中风死亡率一直在下降,但最近显示出进展放缓的迹象.
- 了解中风死亡率的区域趋势对于公共卫生干预至关重要.
研究的目的:
- 分析1999年至2022年西班牙拉里奥哈地区中风死亡率的时间趋势.
- 检查整体中风,缺血性中风和出血性中风的年龄和性别调整后的死亡率.
主要方法:
- 利用拉里奥哈死亡登记 (1999-2022) 的统计数据.
- 对中风亚型的年龄和性别调整后计算的死亡率.
- 雇员加入点回归模型来识别显著的趋势变化并计算年度百分比变化 (APC).
主要成果:
- 按年龄标准化的中风死亡率在女性 (每10万人中98.0至29.2) 和男性 (每10万人中131.6至44.8) 两种情况下都大幅下降.
- 在大多数年龄组中,死亡率下降,65岁以下的人除外.
- 出血性中风的死亡率在男性中呈现一致的下降,在女性中以后的下降,而缺血性中风的趋势因性别和十年而异,观察到一些增加.
结论:
- 在拉里奥哈,中风死亡率有所下降,而出血性中风的减少比缺血性中风更为显著.
- 虽然整体死亡率下降,但缺血性和出血性中风的具体趋势因性别和时间段而异,突出了针对性策略的需要.
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