老年人中风负担:一个全面的全球研究超过三十年
Ruoyu Gou1, Changjun Luo2, Xudong Liang2
1School of Public Health, Ningxia Medical University, Yinchuan, Ningxia, China.
Frontiers in aging
|July 30, 2025
概括
从1990年到2021年,全球老年人中风病例和死亡人数增加. 尽管数量上升,但年龄标准化发病率和死亡率下降,老年男性的负担更高.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 脑卒中是一个重大的全球健康挑战,影响老年患者的生活质量.
- 全球疾病负担 (GBD) 研究为了解疾病流行率和影响提供了关键数据.
研究的目的:
- 分析1990年至2021年全球老年人中中风负担的趋势.
- 评估老年人中风发病率,死亡率和残疾调整寿命年 (DALYs) 的变化.
主要方法:
- 利用了来自2021年全球疾病负担 (GBD) 研究的横截面数据.
- 分析了204个国家和地区老年人中风的发病率,死亡率 (全因和因特定),以及中风的DALY.
- 计算估计的年度百分比变化 (EAPC) 来确定趋势速率.
主要成果:
- 全球老年人中风病例从4.39增加到819万 (1990-2021年).
- 年龄标准化发病率 (ASIR) 和死亡率 (ASMR) 显著下降,EAPC分别为-0.784和-1.446.
- 根据残疾调整的寿命年 (DALYs) 增加,而根据年龄标准化的DALYs率 (ASDR) 则下降. 在五个社会人口指数 (SDI) 地区,男性的中风负担高于女性.
结论:
- 在老年人群中,中风病例,死亡和DALY的总数有所上升.
- 尽管病例数量增加,但全球年龄标准化中风发病率和死亡率有所下降.
- 与老年女性相比,老年男性面临的中风负担不成比例地高.
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