患有扩散性血管内凝血的老年患者的死亡率趋势:回顾性CDCWONDER分析 (1999-2020年)
Piyush Ratan1, Kritika2, Umair Iqbal3
1Patna Medical College, Patna, India.
Archives of medical sciences. Atherosclerotic diseases
|October 27, 2025
概括
在老年人中,传播性血管内凝血 (DIC) 的死亡率最初下降,但最近已经上升. 仍然存在显著的种族和地区差异,突出了针对性干预措施解决这些不平等的必要性.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 传播性血管内凝血 (DIC) 是一种严重的疾病,在美国一般人口中死亡率趋势不断上升.
- 以前没有分析过DIC的老年人 (65岁以上) 死亡率趋势.
研究的目的:
- 分析在美国被诊断患有扩散性血管内凝血 (DIC) 的老年患者的死亡趋势.
- 确定老年人中与DIC相关的死亡率的人口和地理差异.
主要方法:
- 来自CDC WONDER数据库 (1999-2020) 的死亡证明数据的分析.
- 根据年龄调整的死亡率 (AAMR) 和年度百分比变化 (APC) 的计算.
- 根据年龄,性别,种族/族裔和地理区域对死亡率数据的分层.
主要成果:
- 在65岁以上的成年人中,DIC的整体年龄调整后死亡率在2015年之前从每10万人中从6.4降至4.0降低,然后略有增加.
- 死亡率趋势因性别,种族和地区而异,非洲裔美国人和美国南部地区的死亡负担最高.
- 大多数与DIC相关的死亡 (93.1%) 发生在医疗机构内.
结论:
- 尽管总体下降,但老年人中与DIC相关的死亡率最近呈现上升趋势.
- 在种族群体 (在非洲裔美国人中最高) 和地理区域 (在美国南部最高) 之间存在着持续的死亡负担差异.
- 针对性干预和加强监测对于解决这些差异和缓解死亡率上升至关重要.
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