美国缺血性中风的五十年死亡率趋势:CDC的奇迹分析
Rameez Qasim1, Laiba Muzammil2, Bilal Qammar3
1Department of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.
Brain and behavior
|December 31, 2025
概括
缺血性中风死亡率长期下降,但最近显示增加,特别是在男性和黑人成年人中. 针对性预防对于高风险群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 缺血性中风是全球主要的死亡和残疾原因,影响近85%的中风病例.
- 在美国,每年大约有795,000人患上中风.
- 持续的差异和地域的变化需要有针对性的战略.
研究的目的:
- 分析1968年至2023年美国缺血性中风死亡率的趋势.
- 为了确定缺血性中风死亡率的人口差异.
- 评估随着时间的推移死亡率的变化,包括最近的趋势.
主要方法:
- 来自疾病预防控制中心的美国死亡证明数据 (1968-2023) 的分析.
- 使用的疾病国际分类 (ICD-8,ICD-9,ICD-10) 是缺血性中风的代码.
- 雇员结合点回归计算年龄调整的死亡率 (AAMR) 和年度百分比变化 (APC/AAPC).
主要成果:
- 从1968年至2014年间,缺血性中风的死亡率显著下降 (AAMR从每10万人的76.2到10.0).
- 从2014年到2023年,死亡率显著增加 (APC:38.69%,然后是7.48%).
- 观察到持续的性别和种族差异,最近男性和黑人成年人的上升趋势;老年人承担了最大的负担.
结论:
- 尽管长期减少,但最近缺血性中风死亡率的增加令人担忧.
- 根据年龄,性别和种族仍然存在显著的差异.
- 针对性预防和公平的医疗保健干预措施对于高风险人群至关重要.
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