大动脉解剖和动脉瘤中高血压相关的死亡率:一项回顾性观察性研究
Meenakshi Yathindra1, Aayushi Bhamat2, Onkardeep Kaur3
1Internal Medicine, Kasturba Medical College, Mangaluru, IND.
Cureus
|October 22, 2025
概括
与高血压有关的大动脉动脉瘤和剖析的死亡率发生了转变,显示不同的人口群体之间的差异越来越大. 针对性预防和获得医疗保健对于解决心血管死亡率不断变化的趋势至关重要.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生 公共卫生
- 医学统计数据 医学统计数据
背景情况:
- 高血压是心血管死亡的重要危险因素.
- 高血压,大动脉动脉瘤和大动脉剖析之间的联系是研究的一个关键领域.
- 了解死亡率趋势对于公共卫生干预至关重要.
研究的目的:
- 分析与高血压作为死亡原因相关的死亡趋势,特别是当大动脉解剖和动脉瘤是导致因素时.
- 确定和检查与高血压大动脉疾病相关的死亡率的人口差异.
- 为了评估这些死亡率模式的变化随着时间的推移在美国.
主要方法:
- 一项回顾性观察性研究利用了CDC WONDER数据库 (1999-2020年).
- 数据包括25岁以上的高血压患者 (ICD-10: I10-I15) 作为潜在原因,以及主动脉解剖/动脉瘤 (ICD-10: I71.0) 作为导致原因.
- 根据年龄调整的死亡率 (AAMR) 和年均百分比变化 (APC) 计算并按性别,种族,地区和死亡地点分层.
主要成果:
- 总共分析了20782例死亡,AAMR最初下降,随后在2006-2009年间大幅增加,随后略有下降.
- 男人,白人,大都市地区的人以及医疗机构中的死亡代表了最高的死亡负担.
- 时间分析显示,男性和女性AAMR的增加,以及2006-2009年非洲裔美国人和白人个体的类似趋势,突出了不断变化的差异.
结论:
- 高血压与大动脉解剖和动脉瘤的死亡率趋势显示出复杂的模式,人口群体之间的差异显著增加.
- 这些发现强调,迫切需要针对性预防策略来缓解心血管死亡率.
- 改善医疗保健准入对于解决结果中发现的不平等问题至关重要.
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