严重大动脉狭窄的患病率的种族和民族差异通过心声扫描
Salam Allahwerdy1, Fagen Xie2, Botao Zhou2
1Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
The Permanente journal
|July 25, 2024
概括
与白人和西班牙裔人相比,亚裔美国人和黑人患者的严重大动脉狭窄 (AS) 率较低. 年龄是主要的风险因素,在老年人中,发病率显著增加.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 了解大动脉狭窄 (AS) 的健康差异对于公平的医疗保健至关重要.
- 这项研究调查了不同种族和种族群体中严重AS患病率的变化.
研究的目的:
- 为了确定严重的大动脉狭窄的发生率是否在各种种族和族裔群体之间有所不同.
- 确定与严重AS相关的人口和临床因素.
主要方法:
- 对615,038名成年人的胸前回声图数据的分析.
- 后勤回归被用来识别与严重AS相关的因素,按种族和种族分层.
主要成果:
- 严重的AS患病率随年龄增加,从0.08% (<50岁) 到3.8% (≥90岁) 不等.
- 与非西班牙裔白人患者相比,亚裔美国人和非西班牙裔黑人患者患重症AS的几率较低.
- 西班牙裔患者的几率相似,而男性性别和糖尿病与严重AS的几率增加有关.
结论:
- 在严重AS发病率中存在显著的种族和民族差异.
- 年龄,男性性别和糖尿病是与严重AS相关的关键因素.
- 预计AS负担的增加需要为老龄化,多样化的人口分配资源.
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