加勒比地区的心血管疾病:风险因素趋势,护理和结果仍远远不符合预期
1Caribbean Centre for Health Systems Research and Development, Faculty of Medical Sciences, University of West Indies, St Augustine Campus, Couva, TTO.
加勒比地区的心血管疾病 (CVD) 护理有所改善,但落后于高收入国家. 解决饮食和生活方式等社会决定因素对于更好的心血管疾病结果和降低死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 心血管疾病 (CVD) 在加勒比地区构成了重大公共卫生挑战.
- 虽然在心血管保健方面有所改善,但仍未达到预期.
研究的目的:
- 分析加勒比地区心血管疾病的流行病学和风险因素.
- 与高收入国家相比,确定心血管保健方面的差距.
- 评估患者的结果,包括生活质量和死亡率.
主要方法:
- 对1959年至2022年加勒比地区心血管疾病的同行评审文章的系统审查.
- 根据流行病学概况,风险因素,管理和结果进行数据提取和分类.
- 分析了来自加勒比各个国家的36项精选研究.
主要成果:
- 心血管疾病风险因素的高流行率,包括与快餐消费和久坐不动的生活方式等社会决定因素相关的风险因素.
- 观察到心血管保健不足,患者遵守不佳,住院患者死亡率高.
- 与高收入国家相比,存在显著的差异.
结论:
- 需要更多的努力来加强加勒比海各个阶段的心血管保健.
- 解决社会和环境因素对于减轻心血管疾病风险至关重要.
- 改善护理质量和患者合规性对于降低死亡率至关重要.
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