关于与心房动和慢性阻塞性肺部疾病相关的死亡时间趋势的回顾性研究
Chaitanya Singh1, Singathala Gnana Sree2, Anand Prakash3
1Anatomy, Dr. D.Y. Patil Medical College and Hospital, Pune, IND.
Cureus
|November 26, 2025
概括
患有慢性阻塞性肺病 (COPD) 的心房 (AF) 的死亡率在2015年之前显著增加,然后趋于平稳. 存在性别,种族和地理位置的不平等,突出了针对性干预的必要性.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 心房动 (AF) 是导致死亡的主要原因.
- 对于AF和慢性阻塞性肺病 (COPD) 之间的关联还不太清楚.
- 结合AF和COPD会增加死亡率和发病率.
研究的目的:
- 分析患有COPD的AF的死亡率趋势和人口差异.
- 使用CDC WONDER多种死亡原因数据库 (1999-2020年).
主要方法:
- 使用CDC WONDER MCD数据库 (1999-2020) 进行的回顾性观察研究.
- 包括死因为底层原因的AF (ICD-10: I-48) 和COPD (ICD-10: J40-J44) 的死亡.
- 分析了按城市化,性别,种族,地区和死亡地点的数据;计算了年龄调整的死亡率 (AAMR) 和年度百分比变化 (APC).
主要成果:
- 37,738人因有COPD的AF而死亡.
- 从1999年至2015年,AAMR上升 (从6.82美分至8.37美分),然后趋于平稳 (从2015年至2022年为0.15美分).
- 在女性,白人患者和大都市地区观察到的最高死亡率,种族和地理差异显著.
结论:
- 患有COPD的AF的死亡率趋势显示,最初的增加,然后在2015年后稳定下来.
- 在性别,种族和地理位置之间存在严重的死亡率差异.
- 调查结果强调需要有针对性的预防策略和改善受影响人口获得医疗保健的必要性.
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