从1999年到2020年,在美国与Iatrogenic错误相关的死亡率的趋势:年龄-时期-队列分析
Rayaan Imran1, Zoya Aamir1, Arusha Hasan1
1Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Iatrogenic error (IE) 死亡总体下降,但从2015年到2020年显著增加,特别是在老年人和非核心领域. 区域差异凸显了针对性干预措施的必要性,以减少IE死亡率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗错误分析 医学错误分析
背景情况:
- 在美国,与Iatrogenic错误 (IE) 相关的死亡报告不足.
- 需要对IE死亡率趋势进行全面分析.
研究的目的:
- 检查1999年至2020年美国因阳性误差 (IE) 相关死亡率的时间,区域,城市化和年龄相关趋势.
主要方法:
- 使用CDC的WONDER数据库对IE相关死亡的回顾性分析.
- 计算的原始和年龄调整的死亡率 (AAMR) 和年度百分比变化 (APC).
主要成果:
- 总体IE死亡人数: 531,792 (1999-2020年) 死亡人数: 531,792 (1999-2020年) 死亡人数: 总体IE死亡人数: 531,792 (1999-2020年)
- 从2015年到2020年,AAMR增长了17.19% (APC),65-85岁以上的年龄组APC增长了18.39%.
- 在非核心大都市区和西部人口普查区 (25.36% APC) 观察到的死亡率增长最高.
- 在密西西比州,新墨西哥州和怀俄明州的高AAMR中,注意到了显著的州级差异.
结论:
- 死亡率呈现显著波动,需要有针对性的干预措施.
- 解决区域和特定年龄的差异对于减少IE至关重要.
- 对死亡率变化的进一步调查可以为减少催产素误差的策略提供信息.
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