美国退伍军人心血管疾病的建筑环境和不良心血管事件
Skanda Moorthy1, Zhuo Chen1, Tong Zhang1
1Department of Medicine, Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH, USA.
The Science of the total environment
|May 4, 2025
概括
绿地和人行道等建筑环境特征可以增加心血管风险,而旧建筑可能会降低心血管风险. 邻里特征对于预测退伍军人的重大不良心血管事件 (MACE) 很重要.
科学领域:
- 环境心脏病学环境心脏病学
- 公共卫生 公共卫生
- 医疗保健中的人工智能
背景情况:
- 动脉样硬化心血管疾病 (ASCVD) 患者的建筑环境特征和主要不良心血管事件 (MACE) 之间的关系尚未得到研究.
- 邻里特征可能会影响心血管健康,超出传统的风险因素.
研究的目的:
- 为了确定人工智能提取的建筑环境特征是否可以预测国家退伍军人人口中的MACE.
- 确定影响心血管死亡率的特定建筑环境特征.
主要方法:
- 对770,990名美国退伍军人进行了回顾性队列研究,他们患有稳定的ASCVD (2016-2021).
- 人工智能分析了1.64亿张谷歌街景图像,以提取人口普查区级别的11个建筑环境特征.
- 多变量细灰色模型,根据人口统计,临床因素和社会贫困指数进行调整.
主要成果:
- 七个建筑环境特征与MACE风险的增加显著相关,包括绿地,单车道道路,人行道,人行道,非单户住宅和多辆汽车.
- 旧/破旧的建筑物和可见的电线与MACE风险降低有关.
- 绿色的风险在较高的社会贫困指数四分位数中升高.
结论:
- 建筑环境的特点显著影响美国退伍军人ASCVD的MACE风险.
- 社区特征在心血管风险分层中起着至关重要的作用.
- 暴露体,包括环境因素,对于理解心血管健康至关重要.
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