根据人口统计、种族、教育水平和居住地区,丹麦房颤和扑动发病率和流行率的十年趋势(2009-2018年)。

IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Minerva cardiology and angiology Pub Date : 2023-12-01 Epub Date: 2023-06-30 DOI:10.23736/S2724-5683.23.06299-3
Katrine D Brodersen, Uffe Heide-Jørgensen, Jens C Nielsen, Morten Schmidt
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引用次数: 0

摘要

背景:房颤是最常见的心律失常,也是全球主要的健康负担。心房颤动或扑动(AF)流行病学的最新趋势是必要的。方法:使用丹麦心脏统计数据,根据年龄调查2009-2018年全国AF发病率和患病率趋势,以及根据性别、种族、教育水平和居住地区调查AF的年龄标准化发病率(ASIR)和患病率(ASP)。比较2018年和2009年,我们计算了地层特定ASIR比率(ASIRR)和ASP的变化。结果:在2009-2015年期间,AF的ASIR在男性和女性中都有所增加,随后在2015-2018年下降。总的来说,这导致男性增加了9% (ASIRR: 1.09, 95% CI: 1.06-1.12),但女性没有变化(ASIRR: 1.00, 95% CI: 0.97-1.04)。男性平均工资增长了29%,女性增长了26%。除远东裔男性外,所有族群的ASIR均有增加。较低的教育水平与ASIR和ASP的增加有关。丹麦各地区的ASIR和ASP略有不同,但都有所增加。结论:在2009-2018年期间,丹麦房颤的发病率和患病率有所增加,尽管女性发病率的增加是短暂的。与高发病率相关的因素是男性,年龄较大,女性中丹麦和西方种族以及中东/北非种族,以及较低的教育水平。在丹麦,我们观察到房颤发病率和流行率的区域差异很小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ten-year trends in incidence and prevalence of atrial fibrillation and flutter in Denmark according to demographics, ethnicity, educational level, and area of residence (2009-2018).

Background: Atrial fibrillation is the most common cardiac arrhythmia and a major global health burden. Updated trends in the epidemiology of atrial fibrillation or flutter (AF) are needed.

Methods: Using the Danish Heart Statistics, we investigated nationwide trends 2009-2018 in incidence rate and prevalence of AF according to age as well as age-standardized incidence rate (ASIR) and prevalence (ASP) of AF according to sex, ethnicity, educational level, and area of residence. Comparing year 2018 to 2009, we calculated stratum-specific ASIR ratios (ASIRR) and changes in ASP.

Results: During 2009-2015 the ASIR for AF increased for both men and women, followed by a decline from 2015-2018. Overall, this resulted in a 9% increase among men (ASIRR: 1.09, 95% CI: 1.06-1.12), but no change among women (ASIRR: 1.00, 95% CI: 0.97-1.04). The ASP increased by 29% among men and 26% among women. An increase in ASIR was observed in all ethnic groups except men of Far Eastern ethnicity. Lower educational level was associated with greater increases in both ASIR and ASP. ASIR and ASP differed slightly between the Danish regions but increased in all of them.

Conclusions: During 2009-2018 the incidence and prevalence of AF in Denmark increased although the increase in incidence was transient among women. Factors associated with higher incidence were male sex, higher age, Danish and Western ethnicity as well as Middle Eastern/North African ethnicity among women, and lower educational level. Within Denmark, we observed only minor regional differences in AF incidence and prevalence.

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Minerva cardiology and angiology
Minerva cardiology and angiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
18.80%
发文量
118
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