美国大动脉动脉瘤破裂的死亡率趋势,1999-2020年:使用CDC WONDER进行基于人口的观察性研究
Muhammad Shaheer Ahmad1, Sarmad Imran2, Ahmed Abdul Rab3
1CMH Lahore Medical College, Lahore, Pakistan.
Annals of vascular surgery
|January 16, 2026
概括
在美国,大动脉动脉瘤破裂 (rAA) 死亡率从1999年到2020年大幅下降. 然而,差异仍然存在,女性,老年人和农村人口的死亡率更高.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 破裂的大动脉动脉瘤 (rAA) 是一种具有高死亡率的关键血管紧急情况.
- 尽管取得了进展,但rAA死亡率仍然是一个重大的公共卫生问题.
- 国家趋势和rAA死亡率的差异需要持续调查.
研究的目的:
- 分析1999年至2020年美国因大动脉动脉瘤破裂 (rAA) 成人死亡率的国家趋势.
- 识别和评估与rAA相关的死亡人口和地理差异.
- 为了告知有针对性的公共卫生干预措施,并改善患者的治疗结果.
主要方法:
- 对25岁以上的成年人中CDC WONDER死亡率数据 (1999-2020年) 的回顾性分析.
- 使用特定于大动脉动脉瘤的ICD-10代码识别死亡.
- 根据年龄调整的死亡率 (AAMR) 的计算和使用Joinpoint回归的时间趋势的评估.
主要成果:
- 在1999年至2020年期间,美国共记录了118,211人死于rAA.
- 根据年龄调整的整体死亡率 (AAMR) 每年下降6.51%,从每10万人口中的4.87降至1.15.
- 观察到显著的差异,男性,农村地区,非西班牙裔白人和中西部地区的死亡率更高,而随着年龄的增长,死亡率增加.
结论:
- 由于大动脉动脉瘤破裂 (rAA) 的美国死亡率在过去二十年中显著下降.
- 在妇女,老年人和农村人口中,rAA死亡率的差异仍然存在.
- 持续的监测和有针对性的干预措施对于解决这些差异和进一步减少与rAA相关的死亡至关重要.
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