在2000年至2019年期间,中高收入国家之间的膜心脏病相关死亡率
Makoto Hibino1,2, Hiroki A Ueyama3, Michael E Halkos4
1Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic Cleveland, Ohio, USA.
JACC. Advances
|January 16, 2025
概括
全球膜心脏病 (VHD) 死亡率正在上升,中高收入国家之间有明显的趋势. 中等收入国家显示VHD死亡率稳定,而高收入国家出现下降,除了特定的子组.
科学领域:
- 心血管医学 心血管医学
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 膜心脏病 (VHD) 管理已经取得了进展,但全球卫生保健准入差距仍然存在.
- 社会经济因素显著影响VHD的结果和管理.
研究的目的:
- 分析全球VHD死亡率趋势.
- 为了比较中高收入国家之间的VHD死亡率差异.
主要方法:
- 利用了世界卫生组织2000-2019年死亡率数据库数据.
- 针对VHD及其子组 (RVD,IE,AS,MR) 的计算年龄特定和年龄标准化死亡率.
- 雇员加入点回归分析了93个国家的死亡率趋势.
主要成果:
- 粗VHD死亡率在中高收入国家增加.
- 中等收入国家:恒定的年龄标准化VHD死亡率,风湿性膜疾病 (RVD) 减少,但感染性内心炎 (IE),大动脉狭窄 (AS) 和 mitra regurgitation (MR) 增加.
- 高收入国家:年龄标准化VHD死亡率总体下降,但在年轻人群中IE死亡率急剧上升,老年人群中MR增加.
结论:
- 在全球范围内,VHD的死亡率负担越来越大.
- 在中高收入国家之间,VHD死亡趋势存在显著差异.
- 进一步的研究至关重要,以阐明这些不同的VHD死亡率模式背后的原因.
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