中国突然心脏骤停死亡率:时间趋势和风险因素
Yang Yu1, Jie Wang2, Ji-Fei Wang3
1Department of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.
Military Medical Research
|August 14, 2025
概括
2013年至2021年,中国突然心脏病死亡 (SCD) 发生率显著增加,男性和老年人面临更高的风险. 改善预防和紧急措施对于应对这种日益严重的公共卫生挑战至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 突然心脏病死亡 (SCD) 占中国所有突然死亡的一半以上,但缺乏全面的流行病学数据.
- 由于数据稀缺和定义不同,估计SCD发病率和风险因素至关重要.
- 本研究解决了中国在2013-2021年期间需要可靠的SCD数据的需求.
研究的目的:
- 为了估计发生率,并确定中国突然心脏死亡 (SCD) 的风险因素.
- 分析2013年至2021年SCD的区域和时间趋势.
- 与发达国家相比,评估中国SCD预防策略的现状.
主要方法:
- 利用来自中国国家死亡监测系统 (2013-2021) 的多原因死亡数据.
- 用于趋势分析的联合点回归和用于风险因素识别的负二项回归.
- 通过对中国和国际实践的文献审查,确定了预防措施.
主要成果:
- 突然心脏骤停的原始死亡率从每10万人口中的8.36增加到18.59 (2013-2021).
- 男性和老年人表现出更高的SCD风险; 医疗状况不佳也与此相关.
- 超过一半的SCD发生在医院外,在60%的病例中,缺血性心脏病是主要原因.
结论:
- 由于心血管疾病患病率的增加,中国的SCD负担预计将增加.
- 加强心脏骤停的医院前和医院内紧急护理是必不可少的.
- 通过政策倡议提高公众意识,知识和一线培训对于SCD预防至关重要.
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