心脏停止负担的变化 睡眠呼吸暂停中的死亡率:一项从1999年到2024年的全国性研究
Muhammad Abdullah Naveed1, Tahreem Mari1, Bazil Azeem2
1From the Dow University of Health Sciences, Karachi, Pakistan.
Cardiology in review
|September 30, 2025
概括
美国成年人患有睡眠呼吸暂停的心脏骤停死亡人数在过去二十年中显著增加. 这一趋势对于美国西部的男性,种族少数群体和个人来说尤其令人担忧,突出了迫切的公共卫生需求.
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:
- 睡眠呼吸暂停是心血管疾病的重要危险因素,包括心脏骤停.
- 了解睡眠呼吸暂停患者心脏骤停死亡率的趋势和差异对于公共卫生干预至关重要.
研究的目的:
- 检查1999年至2024年美国成年人被诊断患有睡眠呼吸暂停的心脏骤停死亡率的趋势.
- 评估睡眠呼吸暂停相关心脏骤停死亡率的人口和地理差异.
主要方法:
- 对疾病预防控制中心流行病学研究 (WONDER) 数据库的广泛在线数据进行回顾性分析.
- 包括25岁以上的睡眠呼吸暂停和心脏骤停的成年人.
- 加入点回归分析以计算年龄调整的死亡率 (AAMR) 和年均百分比变化 (APC),按性别,种族/种族,地区和城市化分层.
主要成果:
- 在睡眠呼吸暂停患者群体中,共发现57,186例心脏骤停死亡.
- 年龄调整后的死亡率从每10万人中从0.3增加到1.5 (APC,6.08%),到2021年达到峰值.
- 在男性,非西班牙裔黑人和美国西部地区观察到较高的死亡率,农村地区的死亡率增加更为明显.
结论:
- 在美国成年人中,睡眠呼吸暂停的心脏骤停死亡率在过去二十年中大幅增加.
- 在性别,种族/种族和地理区域之间存在差异,这表明某些人口承担的负担不成比例.
- 有针对性的查,公平的护理准入和公共卫生战略对于解决这些心血管风险至关重要.
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