1990年至2021年间的缺血性中风的全球,区域和国家流行病学
Shuai Hou1, Yifeng Zhang2, Yulei Xia2
1Emergency Department, Affiliated Hospital of Shandong Second Medical University, Weifang, China.
European journal of neurology
|September 18, 2024
概括
全球缺血性中风发病率和死亡率从1990年到2021年有所下降. 然而,在特定地区的疾病负担仍然很高,环境和行为因素对风险作出了重大贡献.
科学领域:
- 流行病学 流行病学
- 全球健康 全球健康
- 神经学 神经学
背景情况:
- 缺血性中风对全球健康构成重大负担.
- 了解其发病率,死亡率和残疾的趋势对于公共卫生干预至关重要.
研究的目的:
- 分析1990年至2021年间缺血性中风的全球,区域和国家负担.
- 为了确定与缺血性中风相关的趋势和风险因素.
主要方法:
- 利用了2021年全球疾病负担研究 (GBD) 的数据.
- 评估了204个国家的发病率,死亡率和残疾调整寿命年 (DALYs).
- 雇员Joinpoint回归分析和估计的年度百分比变化 (EAPC) 来确定趋势.
主要成果:
- 在全球范围内,缺血性中风的年龄标准化发病率,死亡率和DALY率从1990年到2021年呈现下降趋势.
- 在2014-2021年期间,加勒比地区的年龄标准化发病率 (ASIR) 增长最快.
- 北马其顿报告的发病率,死亡率和DALY率最高. 关键的危险因素包括代谢问题,颗粒物污染,低温,吸烟和高摄入量.
结论:
- 尽管整体趋势在下降,但缺血性中风仍然是全球主要的健康挑战.
- 在东欧,东亚,中亚和撒哈拉以南非洲地区,疾病负担仍然很高.
- 环境和行为风险因素需要有针对性的公共卫生战略.
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