2003-2020年美国死性炎相关死亡率的趋势:一个CDC奇迹数据库基于人口的研究
Saad Khan1, Rizwan Ahmad2, Aqsa Munir3
1Saidu Medical College, Khyber Pakhtunkhwa, Pakistan.
World journal of surgery
|March 19, 2025
概括
自2014年以来,美国死性膜炎 (NF) 死亡率急剧上升,性别,种族和地区均有显著差异. 早期诊断和治疗对于改善这种严重感染的结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 死性膜炎 (NF) 是一种严重的,快速进展的软组织感染,死亡率高.
- 美国对NF的长期死亡趋势的研究有限.
研究的目的:
- 从2003年到2020年,分析美国25岁以上成年人的NF相关死亡趋势.
- 通过性别,种族/种族和地理区域来确定死亡率的变化.
主要方法:
- 使用了CDC WONDER数据库和ICD-10代码M72.6用于NF死亡.
- 计算的原始和年龄调整后的死亡率 (AAMR).
- 使用年百分比变化 (APC) 连点回归来评估时间趋势.
主要成果:
- 从2003年到2020年,NF总死亡人数增加了120.6%;AAMR从每10万人中从0.44上升到0.71.
- 男性和美洲印第安人/阿拉斯加土著人口的死亡率最高.
- 2014年以后,所有地区的死亡率都显著增加,西部最高,东北最低.
结论:
- 自2014年以来,与NF相关的死亡率在美国显著增加.
- 存在基于性别,种族和地理位置的差异,可能与慢性疾病和医疗保健准入有关.
- 早期诊断,治疗和公平的公共卫生干预至关重要.
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