美国尾炎相关死亡率的趋势和差异. 人口和地区:一个22年的CDC WONDER数据库研究
Rayyan Nabi1, Shree Rath2, Sohaib Aftab Ahmad Chaudhry3
1Islamic International Medical College, Rawalpindi, Pakistan.
World journal of surgery
|July 29, 2025
概括
在美国,尾炎的死亡率总体下降,但最近女性死亡率的增加和持续的种族/区域差异凸显了改善手术护理的目标干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 外科手术的结果
背景情况:
- 尾炎是一种常见的手术紧急情况,具有严重的潜在并发症.
- 了解长期死亡率趋势和差异对于公共卫生至关重要.
- 本研究研究了美国尾炎相关死亡率的人口和地区差异.
研究的目的:
- 分析1999年至2020年美国尾炎相关死亡率的趋势.
- 确定人口 (性别,种族/族裔) 和地区 (城市化,州) 的死亡率差异.
- 为公平获得及时的外科护理提供有针对性的干预信息.
主要方法:
- 对25岁及以上个体的死亡证明数据 (ICD-10 K35-K37) 的回顾性分析.
- 根据年龄调整的死亡率 (AAMRs) 的计算标准化为2000年美国人口.
- 结点回归用于估计趋势,分析按性别,种族/种族,城市化和状态分层.
主要成果:
- 在1999年至2020年期间,共发生了15243例尾炎相关死亡.
- 整体AAMR从每10万人口中的0.38降至0.32,从1999年至2018年有显著下降,随后略有上升.
- 值得注意的差异包括男性的死亡率更高 (持续下降),女性 (自2016年以来增加),黑人 (AAMR最高但有显著下降),非大都市地区和特定州 (VT,NM最高;NJ,LA最低).
结论:
- 在美国,尾炎相关的死亡率在过去二十年中有所下降.
- 自2016年以来,女性死亡率的上升以及持续的种族和地区差异需要引起注意.
- 有针对性的干预措施是必不可少的,以确保所有人口均能获得及时的外科护理.
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