从1990年到2021年,先天性心脏异常的全球模式不断演变
Enhui Yang1, Hao Lin2, Yuansi Zhang3
1Department of Child Healthcare, Wenzhou People's Hospital, Zhejiang Province, China.
Archives of medical science : AMS
|October 13, 2025
概括
儿童的先天性心脏异常 (CHAs) 显示了全球患病率和死亡率的下降. 然而,差异仍然存在,社会人口指数 (SDI) 较低的地区经历了最高的CHA死亡率.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 先天性心脏异常 (CHAs) 代表了儿童的全球健康负担.
- 在社会人口指数 (SDI) 地区和性别之间,医疗保健获取差异仍然存在.
- 尽管患病率略有下降,但CHAs仍然是一个关键的儿科健康问题.
研究的目的:
- 分析0-14岁儿童先天性心脏异常 (CHAs) 患病率和死亡率的全球趋势.
- 确定不同社会人口指数 (SDI) 地区和性别的CHA负担的差异.
- 评估从1990年到2021年CHA相关死亡率和流行率的变化.
主要方法:
- 利用2021年全球疾病负担数据集进行横截面分析.
- 包括来自204个国家的数据,包括2.18亿多名儿童.
- 采用全球映射,Joinpoint回归和速率估计,按年龄,性别和SDI分层.
主要成果:
- 在1990年至2021年期间,全球CHA患病率下降了4.294%.
- 在过去的30年里,与CHA相关的死亡和死亡率显著下降.
- 低SDI地区在2021年表现出最高的CHA相关死亡率.
结论:
- 先天性心脏异常 (CHAs) 仍然是一个持续的全球健康挑战,特别是在SDI较低的地区.
- 有针对性的公共卫生干预措施对于减轻差异至关重要.
- 改善CHA儿童的健康结果需要解决区域不平等问题.
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