2004年至2022年,美国退伍军人患有沙丘病的各种原因死亡率趋势,2004-2022年
Mohamed I Seedahmed1, Mohamed T Albirair2, Aaron D Baugh3
1Medical Service, Pittsburgh Veterans Affairs Healthcare System, University of Pittsburgh, Pittsburgh, PA; Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Chest
|November 9, 2024
概括
美国退伍军人患有沙尔科病的死亡率每年都在增加. 黑人退伍军人和男性面临更高的风险,这表明潜在的环境暴露差异和普及医疗保健的影响.
科学领域:
- 肺部医学 肺部医学
- 流行病学 流行病学
- 退伍军人健康 退伍军人的健康
背景情况:
- 麻症是一种异常多器官疾病,其结果有所变化.
- 在美国退伍军人中缺乏对 Sarcoidosis 死亡率的全面分析.
研究的目的:
- 为了检查美国退伍军人患有沙尔科病的全因死亡率的趋势.
- 调查人口统计,种族和地理因素对这些死亡率趋势的影响.
主要方法:
- 从2004年到2022年使用退伍军人卫生管理局 (VHA) 电子健康记录 (EHR) 的回顾性队列研究.
- 对23,745名被诊断患有沙尔科病的退伍军人进行分析,检查了年度死亡率趋势和风险因素.
- 多变量Poisson回归和边际平均值趋势和地理分析程序;用于社会经济差异评估的区域贫困指数 (ADI).
主要成果:
- 全因死亡率每年增加4.7% (P < .0001),与白人退伍军人相比,黑人退伍军人死亡率高6.4% (P = .02).
- 增加死亡率的风险因素包括年龄较大,男性性别,黑人种族和东北地区居住.
- 在ADI调整后,没有观察到死亡率趋势的显著变化,地理差异没有显示出明确的模式.
结论:
- 美国退伍军人患有沙尔科病的死亡率正在上升.
- 服务行业的差异和男性的更高风险表明潜在的环境暴露影响.
- 较窄的种族差异和有限的ADI影响可能表明,普遍获得医疗保健在促进公平结果方面的作用.
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