英国哥伦比亚省中风死亡率下降的趋势和驱动因素:基于人口的研究 (2002-2022)
Solmaz Setayeshgar1, Lily W Zhou2, Mirna Hennawy2
1British Columbia Centre for Disease Controlhttps://ror.org/05jyzx602, Vancouver, BC, Canada.
概括
改善中风生存率,而不是预防,正在减少不列颠哥伦比亚省 (BC) 的死亡人数. 然而,中风发病率在年轻人中正在上升,差异仍然存在,需要有针对性的公共卫生战略.
科学领域:
- 公共卫生研究 公共卫生研究
- 流行病学 流行病学
- 心血管疾病研究 心血管疾病研究
背景情况:
- 在加拿大不列颠哥伦比亚省 (BC) 中,中风是导致死亡的主要原因.
- 了解死亡率下降的驱动因素 (预防与生存) 对于医疗保健规划至关重要.
研究的目的:
- 为了确定在BC的中风死亡率下降是由于发病率降低或生存率提高.
- 通过人口因素来确定中风事件,病例死亡率和死亡率的趋势.
主要方法:
- 在BC居民中对123,075次中风事件进行了基于人口的研究 (2002-2022年).
- 计算了中风事件的年龄标准化率,30天病例死亡率和死亡率.
- 使用回归模型来评估时间变化和对降低死亡率的贡献.
主要成果:
- 脑卒中发生率整体下降,但在年轻人 (35-54岁) 中增加.
- 两性病例死亡率显著下降,特别是在年轻人中.
- 死亡率大幅下降,主要是由于生存率提高,尽管差异仍然存在.
结论:
- 改善中风存活率是BC死亡率降低的主要驱动因素.
- 持续的性别,收入和地理差异需要有针对性的干预措施.
- 年轻人中风负担的增加需要紧急关注和量身定制的策略.
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