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与糖尿病和心力衰竭相关的死亡率趋势:一项回顾性研究
Bantu Prushni1, Harnoor Dhillon2, Dhwani Patel3
1Internal Medicine, Sri Venkateswara Medical College, Tirupati, IND.
Cureus
|September 19, 2025
概括
糖尿病 (DM) 死亡率与心力衰竭 (HF) 作为原因已经转移,最近的上升趋势观察到2010年后. 性别,种族和地理位置的差异凸显了针对性干预措施的必要性,以减少高风险群体的死亡.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病 (DM) 是死亡的一个重要原因.
- 糖尿病与心力衰竭之间的关系需要进一步研究.
- 了解DM-HF死亡率对于公共卫生干预至关重要.
研究的目的:
- 分析与DM和HF相关的死亡趋势.
- 为了确定DM-HF相关死亡的人口差异.
- 检查DM-HF死亡率的时间变化.
主要方法:
- 使用CDC MCD数据库 (1999-2020) 进行的回顾性观察研究.
- 包括DM作为潜在原因和HF作为导致原因的死亡 (ICD-10:E10-14,I50).
- 根据人口统计学分析了年龄调整的死亡率 (AAMR) 和年均百分比变化 (APC).
主要成果:
- 总死亡人数: 273 611 人.
- 1999年至2005年,DM-HF的AAMR上升,2005年至2010年急剧下降,然后在2010年之后上升 (APC +1.88).
- 在女性,白人和大都市地区的死亡率最高;在2010年后,在男性和亚洲/太平洋岛民中注意到AAMR的增加.
结论:
- 肌痛性脑膜炎的死亡率趋势显示,性别,种族和地理位置的差异正在不断变化.
- 为共同疾病管理和预防策略提供有针对性的干预措施至关重要.
- 解决健康的社会决定因素对于减轻过度死亡率至关重要.
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