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热中风死亡率报告的变化:来自多国研究的证据
Aurelio Tobias1, Yasushi Honda2, Lina Madaniyazi3
1Institute of Environmental Assessment and Water Research, Spanish Council for Scientific Research, Barcelona, Spain; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
The Lancet. Public health
|February 26, 2026
概括
热中风死亡率在全球范围内有所不同,日本报告的最高率. 报告和卫生系统的差异可能解释了这些与热相关死亡的独特模式.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 热中风是暴露于热量的最严重结果,但它在全球范围内很少见,而且报告不足.
- 关于全球热中风的发生率和负担的经验数据有限.
- 这项研究调查了热中风死亡率的地理差异和时间趋势.
研究的目的:
- 检查热中风死亡率的地理差异.
- 分析热中风死亡率的时间趋势.
- 评估热中风死亡与温度之间的关系.
主要方法:
- 从34个国家 (2000-2022) 收集了使用ICD-10代码X30的年热中风死亡率数据.
- 使用波桑回归计算估计的国家特定死亡率.
- 分析了趋势,与温暖季节温度的关联,以及相对于因热而导致的死亡率相对于热中风死亡率的比例.
主要成果:
- 热中风死亡率差异很大,日本 (5.81/百万),塞浦路斯 (2.51/百万) 和中国 (2.42/百万) 的死亡率最高.
- 大多数欧洲,南美和东南亚国家报告<1死亡/百万.
- 死亡率随着时间的推移在几个国家增加,并与温暖的季节温度相关;日本将高达24%的与热有关的死亡归因于热中风.
结论:
- 热中风死亡率模式不同于总体的热引起的死亡率.
- 报告,诊断,气候暴露和卫生系统能力的变化影响了记录的热中风死亡.
- 国际比较强调需要改善与热有关的疾病监测和报告.
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