美国甲状腺功能障碍和心力衰竭相关的死亡率的时间趋势
Amruth A Alluri1, Namita Salahuddin2, Tishya Mujoo3
1Internal Medicine, American University of the Caribbean School of Medicine, Cupecoy, SXM.
Cureus
|July 21, 2025
概括
甲状腺功能高和心力衰竭 (HF) 的死亡率发生了转变,年龄调整后的死亡率最近有所增加. 死亡率的差异在女性和白人中越来越大,需要有针对性的干预措施.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 甲状腺功能障碍是美国常见的内分泌疾病,但其与心力衰竭 (HF) 的联系尚不清楚.
- 研究甲状腺功能障碍和甲状腺功能障碍之间的关系对于识别风险人群和告知预防策略至关重要.
研究的目的:
- 分析因甲状腺功能障碍而导致的死亡率的时间和人口趋势,将甲状腺功能障碍作为潜在原因和甲状腺功能障碍作为促成因素.
- 通过从1999年到2020年使用美国国家死亡率数据来研究这些趋势.
主要方法:
- 一项回顾性观察性研究利用了CDC的多种死亡原因数据库 (1999-2020).
- 包括高甲状腺症 (ICD-E05) 是潜在的原因和高甲状腺炎 (ICD-i50) 是导致的原因的死亡 (年龄≥25岁).
- 分析了按性别,种族,地理区域和死亡地点的死亡率,计算了年龄调整的死亡率 (AAMR) 和年度百分比变化 (APC).
主要成果:
- 记录了1,189起死亡事件.
- 该AAMR初步上升 (1999-2001),随后下降 (2001-2011),随后上升 (2011-2020).
- 最高的死亡率发生在女性 (70%),白人 (73.93%) 和大都市地区 (75.4%) 中. 时间趋势显示,女性的AAMR增加 (+3.74% 2013年后) 和白人 (+8.16% 2017-2020年).
结论:
- 与甲状腺功能障碍和甲状腺功能障碍相关的死亡率趋势已经演变,性别和种族差异越来越大.
- 调查结果强调了针对性预防策略和改善受影响人口获得医疗保健的必要性.
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