美国心血管死亡率的后COVID变化和差异
Ofer Kobo1,2, Shivani Misra3, Amitava Banerjee4,5
1Keele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Stoke-on-Trent, UK.
在COVID-19期间,心血管死亡率上升,但部分恢复. 流行病后的发病率仍然很高,人口和地区之间存在很大的差异,需要针对心血管健康公平的有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管医学 心血管医学
背景情况:
- COVID-19大流行严重影响了医疗保健,导致心血管疾病发病率和死亡率增加.
- 了解心血管疾病死亡率的流行后趋势对于公共卫生战略至关重要.
研究的目的:
- 评估COVID-19大流行后美国心血管死亡率的恢复情况.
- 检查这种复苏在不同的人口和地理群体中的公平性.
主要方法:
- 来自CDC WONDER数据库 (2018-2023) 的美国死亡数据分析.
- 专注于心血管疾病,包括缺血性心脏病 (IHD),心力衰竭 (HF),高血压疾病 (HTN) 和脑血管疾病.
- 计算COVID前 (2018-2019),COVID期间 (2020-2021) 和COVID后 (2022-2023) 期间的年龄调整后死亡率,按人口统计和地理分层.
主要成果:
- 整体心血管年龄调整后死亡率在流行期间增加了5.9%,并在流行后减少了3.4%,比COVID前水平增加了2.4%.
- 流行后,IHD死亡率下降了5.0%,而脑血管疾病和高血压疾病的死亡率分别增加了5.9%和28.5%.
- 在男性和年轻人群中观察到心血管死亡率的较高增加,具有显著的地理差异.
结论:
- 在COVID-19大流行期间,心血管死亡率急剧上升,只观察到部分恢复.
- 在不同的人口和地理群体中,死亡率变化存在显著的不平等现象.
- 有针对性的医疗干预措施对于解决差异和改善心血管健康结果至关重要.
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