脑卒中死亡风险因素:全球趋势和区域变化 (1990-2021)
Dengpan Song1, Dingkang Xu2, Kaiyuan Zhang1
1Department of Neurosurgery The First Affiliated Hospital of Zhengzhou University Zhengzhou China.
脑卒中死亡率受到高血压等风险因素的显著影响,特别是在低收入地区和老年男性中. 有针对性的预防策略对于减少全球中风死亡率至关重要.
科学领域:
- 全球卫生流行病学
- 心血管疾病研究研究
- 公共卫生政策 公共卫生政策
背景情况:
- 脑卒中对全球的健康造成了巨大的负担,有很多危险因素.
- 对中风死亡率趋势和风险因素的分析对于有效的公共卫生干预至关重要.
研究的目的:
- 分析与三种主要中风亚型死亡相关的危险因素:缺血性中风,脑内出血和脑下出血.
- 通过从1990年到2021年跨越的2019年全球疾病负担数据库的数据来检查这些风险因素.
主要方法:
- 在缺血性中风,脑内出血和脑下出血中检查了死亡的风险因素.
- 利用社会人口统计指数 (SDI) 来评估社会经济发展对疾病负担的影响.
- 计算了年龄标准化的死亡率和估计的年度百分比变化以确定趋势.
主要成果:
- 2021年,每10万人的年龄标准化死亡率为缺血性中风的44.18,脑内出血的39.09,脑下下出血的4.18.
- 风险因素因地区,年龄和性别而异,在SDI较低的地区,老年人和男性中影响更大.
- 高静脉压是主要的危险因素;高的BMI和空气污染显示死亡率不断增加,特别是在SDI较低的地区.
结论:
- 未来的中风死亡率预防应优先考虑低SDI地区,老年人口和男性.
- 控制高血压和改善空气污染等环境因素是减少中风负担的关键.
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