1985年至2019年间败血症死亡率的跨国趋势:世卫组织死亡数据库的时间分析
Matthieu Komorowski1,2, Justin D Salciccioli3, Joseph Shalhoub2,4
1Department of Surgery and Cancer, Imperial College London, London, UK m.komorowski14@imperial.ac.uk.
BMJ open
|September 12, 2024
概括
从1985年到2019年,与败血症相关的死亡率在全球范围内显著下降,男性相对减少了31.8%,女性相对减少了29.3%. 然而,性别和医疗保健系统之间仍然存在差异,需要进一步调查.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生监督 公共卫生监督
背景情况:
- 败血症负担对于评估全球护理策略至关重要.
- 监测败血症死亡率趋势对于公共卫生至关重要.
- 国际数据分析为疾病负担提供了洞察力.
研究的目的:
- 分析1985年至2019年毒相关死亡率的跨国趋势.
- 评估结血症年龄标准化死亡率 (ASMR) 的变化.
- 为了确定不同国家和人口统计数据中败血症死亡率的变化.
主要方法:
- 世界卫生组织 (WHO) 死亡数据库的回顾性分析.
- 包括来自具有"高可用性数据"和至少10年的记录的国家的数据.
- 每10万人口的年龄标准化死亡率 (ASMR) 的计算,按性别分层.
主要成果:
- 分析了来自36个国家的数据 (1104个国家年),占全球人口的15%.
- 在1985-1987年至2017-2019年期间,男性的ASMR中位数下降了31.8% (相对),女性下降了29.3% (相对).
- 在国家和性别之间观察到败血症死亡率估计和趋势的显著差异.
结论:
- 在1985年至2019年期间,全球范围内观察到报告的败血症相关死亡率的普遍下降.
- 死亡率趋势仍然存在显著的变化,受性别和医疗保健系统因素的影响.
- 需要进一步的研究,以了解导致这些差异的系统级和人口级因素.
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