1990-2021年中国与全球蛛网膜下腔出血负担趋势分析与比较

IF 2 4区医学 Q3 NEUROSCIENCES

Journal of Stroke & Cerebrovascular Diseases Pub Date : 2025-03-30 DOI:10.1016/j.jstrokecerebrovasdis.2025.108303

Zhihua Cheng , Liang Wang , Xiang Wang, Jialong Xuan, Bin Xu, Longfei You

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引用次数: 0

摘要

背景：蛛网膜下腔出血（SAH）是出血性中风中最罕见的一种，与高死亡率和致残率相关。因此，它是一个重大的公共卫生问题。方法本研究回顾了中国和世界范围内SAH的流行病学特征，重点关注2021年全球疾病负担（GBD）数据库。研究人员使用GBD数据库进行流行病学研究，包括1990-2021年间SAH的发病率、死亡率、患病率和残疾调整生命年的联结点回归分析。这一分析揭示了SAH在中国和全球的趋势和影响。结果1990年至2021年，中国年龄标准化发病率（ASIR）从17.96 / 10万人下降到7.81 / 10万人。年龄标准化死亡率（ASMR）从每10万人27.29人下降到4.72人。这使得死亡率降低了51.58%。相比之下，ASIR和ASMR在全球水平上都表现出较慢的下降。中国有报道称，70岁及以上的女性是SAH的高危人群。此外，中年男子的患病率和死亡率都很高。结论目前的观察结果为老年和女性斜向卒中患者设计重点干预提供了依据。它们可用于解决全球SAH负担。本研究为现有医疗干预措施的有效性提供了有价值的信息。这些信息也可以为今后预防和管理SAH的策略提供信息。

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Analysis and comparison of trends in the burden of subarachnoid hemorrhage in china and globally, 1990–2021

Background

Subarachnoid hemorrhage (SAH), the rarest form of hemorrhagic stroke, is associated with high mortality and disability rates. Therefore, it is a major public health concern.

Methods

This study reviewed the epidemiological characteristics of SAH in China and worldwide, focusing on the 2021 Global Burden of Disease (GBD) database. Researchers, using the GBD database, conducted epidemiological studies that included joinpoint regression analyses covering the incidence, mortality, prevalence, and disability-adjusted life years of SAH in the years 1990-2021. This analysis revealed the trends and effects of SAH in China and globally.

Results

From 1990 to 2021, the age-standardized incidence rate (ASIR) in China decreased from 17.96 to 7.81 per 100,000 people. The age-standardized mortality rate (ASMR) decreased from 27.29 to 4.72 per 100,000 people. This resulted in a 51.58 % reduction in mortality. In contrast, both the ASIR and ASMR showed a slower decline at the global level. China has reported that women aged 70 years and older are at a high risk for SAH. Furthermore, middle-aged men have high prevalence and mortality rates.

Conclusions

The current observations warrant the design of focused interventions for both the elderly and female patients with oblique stroke. They can be useful for addressing the SAH burden globally. This study provides valuable information regarding the effectiveness of existing healthcare interventions. This information can also inform future strategies for the prevention and management of SAH.

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来源期刊

Journal of Stroke & Cerebrovascular Diseases Medicine-Surgery

CiteScore

5.00

自引率

4.00%

发文量

583

审稿时长

62 days

期刊介绍： The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.