南亚中风导致的时间性死亡趋势:年龄-时期-队列分析
Ruhai Bai1,2, Minmin Li3, Ashok Bhurtyal4
1School of Public Affairs, Nanjing University of Science and Technology, Nanjing 210094, China.
Healthcare (Basel, Switzerland)
|September 28, 2024
概括
南亚的中风死亡率在过去30年里有所下降,但尼泊尔和巴基斯坦出现了令人担忧的趋势. 持续的公共卫生工作对于维持中风死亡率的改善至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心血管疾病研究研究
背景情况:
- 南亚承受着全球中风死亡率最高的负担.
- 了解长期中风死亡率趋势对于有针对性的干预至关重要.
研究的目的:
- 分析四个南亚国家 (印度,巴基斯坦,孟加拉国,尼泊尔) 的长期中风死亡率趋势.
- 研究这些趋势与年龄,周期和出生队列效应的关联.
主要方法:
- 利用1990年至2019年的数据进行中风死亡率分析.
- 计算了年龄标准化死亡率 (ASMR),以比较各国和人口群体的趋势.
- 采用年龄-时期-队列建模,以确定特定的贡献因素.
主要成果:
- 2019年,南亚记录了近100万次中风死亡,每10万人的ASMR为80.2.
- 印度显示ASMR下降幅度最大 (-35.8%),而巴基斯坦的下降幅度最小 (-7.6%).
- 巴基斯坦和尼泊尔分别显示了特定年龄组和最近时期的ASMR增加,尽管大多数国家总体下降.
结论:
- 在过去的30年里,南亚的中风死亡率有所下降.
- 巴基斯坦和尼泊尔出现的不利时期和队列效应需要有针对性的公共卫生战略.
- 持续的政府和社会倡议对于维持中风死亡率下降趋势至关重要.
更多相关视频
09:11Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability
Published on: February 23, 2016
21.5K
05:32Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
1.8K
相关概念视频
Stroke: Introduction and Types
A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
