2011年至2021年欧洲27个国家的慢性阻塞性肺病死亡率趋势
Ayushman Gupta1, Francesca Gonnelli2,3, Tricia M McKeever2
1NIHR Nottingham BRC Respiratory Theme, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK ayushman.gupta@nottingham.ac.uk.
欧洲慢性阻塞性肺病 (COPD) 死亡率在2011年至2018年期间呈现平原,地理差异很大. 需要进一步调查,以了解欧洲各国的真正COPD负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 是全球主要的死亡原因.
- 在过去十年中,欧洲COPD死亡率趋势的数据有限.
- 本研究分析了2011年至2021年27个欧洲国家的COPD死亡率.
研究的目的:
- 报告欧洲COPD死亡率的趋势和变化.
- 为了确定COPD负担的地理差异.
- 将死亡率数据与烟草的流行情况联系起来.
主要方法:
- 慢性肺炎死亡率数据 (ICD-10代码J43,J44) 来自欧洲统计局数据库.
- 计算了年龄标准化和性别标准化死亡率 (SMR).
- 结点回归分析确定了死亡的平均年百分比变化 (AAPC).
主要成果:
- 总体而言,欧洲的SMR为每10万人/年32.1人,地理异质性很大.
- 各国之间死亡率的差异是五倍.
- 从2011年到2021年,平均年死亡人数明显下降了3%,但从2011年到2018年没有明显的变化.
结论:
- 从2011年到2018年,COPD死亡率的平原需要集中注意力.
- 死亡率的地理差异可能表明某些欧洲国家的报告不足.
- 在欧洲,COPD的真正负担可能被低估了.
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