Burden of Cardiovascular Diseases in Nepal from 1990 to 2019: The Global Burden of Disease Study, 2019.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Epidemiology and Genomics Pub Date : 2023-06-19 eCollection Date: 2023-01-01 DOI:10.1155/2023/3700094
Achyut Raj Pandey, Meghnath Dhimal, Niraj Shrestha, Dikshya Sharma, Jasmine Maskey, Raja Ram Dhungana, Bihungum Bista, Krishna Kumar Aryal
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Abstract

Cardiovascular diseases (CVDs) have emerged as the leading cause of deaths worldwide in 2019. Globally, more than three-quarters of the total deaths due to CVDs occur in low- and middle-income countries like Nepal. Although increasing number of studies is available on the prevalence of CVDs, there is limited evidence presenting a complete picture on the burden of CVDs in Nepal. In this context, this study aims to provide comprehensive picture on the burden of CVDs in the country. This study is based on the Global Burden of Disease (GBD) study 2019, which is a multinational collaborative research covering 204 countries and territories across the world. The estimations made from the study are publicly available in the GBD Compare webpage operated by the Institute for Health Metrics and Evaluation (IHME), University of Washington. This article makes use of those data available on the GBD Compare page of IHME website to present the comprehensive picture of the burden of CVDs in Nepal. Overall, in 2019, there were an estimated 1,214,607 cases, 46,501 deaths, and 1,104,474 disability-adjusted life years (DALYs) due to CVDs in Nepal. The age-standardized mortality rates for CVDs witnessed a marginal reduction from 267.60 per 100,000 population in 1990 to 245.38 per 100,000 population in 2019. The proportion of deaths and DALYs attributable to CVDs increased from 9.77% to 24.04% and from 4.82% to 11.89%, respectively, between 1990 and 2019. Even though there are relatively stable rates of age-standardized prevalence, and mortality, the proportion of deaths and DALYs attributed to CVDs have risen sharply between 1990 and 2019. Besides implementing the preventive measures, the health system also needs to prepare itself for the delivery of long-term care of patients with CVDs which could have significant implications on resources and operations.

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1990 至 2019 年尼泊尔心血管疾病负担:2019 年全球疾病负担研究》。
心血管疾病(CVDs)已成为 2019 年全球死亡的主要原因。在全球范围内,心血管疾病导致的死亡总数中有四分之三以上发生在像尼泊尔这样的中低收入国家。尽管有关心血管疾病发病率的研究越来越多,但能全面反映尼泊尔心血管疾病负担的证据却很有限。在这种情况下,本研究旨在全面介绍该国心血管疾病的负担情况。本研究以 2019 年全球疾病负担(GBD)研究为基础,该研究是一项涵盖全球 204 个国家和地区的多国合作研究。由华盛顿大学卫生计量与评估研究所(IHME)运营的 GBD Compare 网页公开提供了该研究的估算数据。本文利用IHME网站GBD Compare网页上的这些数据,全面介绍了尼泊尔心血管疾病负担的情况。总体而言,2019年尼泊尔因心血管疾病导致的病例估计为1,214,607例,死亡46,501例,残疾调整生命年(DALYs)为1,104,474年。心血管疾病的年龄标准化死亡率略有下降,从 1990 年的每 10 万人 267.60 例降至 2019 年的每 10 万人 245.38 例。1990 年至 2019 年期间,心血管疾病导致的死亡和残疾调整寿命年数比例分别从 9.77% 增加到 24.04%,从 4.82% 增加到 11.89%。尽管年龄标准化患病率和死亡率相对稳定,但心血管疾病导致的死亡和残疾调整寿命年数比例在 1990 年至 2019 年期间急剧上升。除了实施预防措施外,卫生系统还需要为心血管疾病患者的长期护理做好准备,这可能会对资源和运营产生重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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