1990-2019年美国非最佳温度引起的儿童卒中负担的时间趋势：全球疾病负担研究分析

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

Neuroepidemiology Pub Date : 2025-03-28 DOI:10.1159/000545259

Chia-Yi Lin, Hok Leong Chin

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引用次数: 0

摘要

导言：小儿中风虽然不如老年人常见，但也给社会造成了巨大负担。随着气候变化的影响越来越大，本研究旨在评估美国非最佳气温导致的不同小儿中风亚型的负担，并估计未来趋势：本研究分析了来自 2019 年全球疾病负担（GBD）数据库的数据。按性别、年龄和亚型估算了非最佳温度导致的小儿中风负担。本研究使用 R 和 Joinpoint 进行统计分析。P 值结果：从 1990 年到 2019 年，全国范围内因非最佳温度导致的小儿中风死亡率和残疾调整寿命年率有所下降，AAPC 为-2.36（95% UI：-3.06--1.66, p-valueConclusion:本研究强调了美国非最佳体温造成的儿科中风负担。应将更多资源用于解决本研究中观察到的地域健康差异。

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Temporal Trends of Pediatric Stroke Burden Attributable to Nonoptimal Temperature in the USA, 1990-2019: An Analysis for the Global Burden of Disease Study.

Introduction: Pediatric stroke, though less common than in the elderly population, imposes a significant societal burden. With the increasing impact of climate change, this study aimed to assess the burden of different pediatric stroke subtypes attributable to nonoptimal temperatures in the USA.

Methods: This study analyzed data from the Global Burden of Disease (GBD) Database 2019. The pediatric stroke burden attributable to nonoptimal temperatures was estimated by sex, age, and subtypes. R and Joinpoint were used to conduct the statistical analyses in this study. A p value <0.05 was considered statistically significant.

Results: Nationally, there has been a decrease in pediatric stroke death rate and DALY rate attributable to nonoptimal temperature from 1990 to 2019, with an AAPC of -2.36 (95% UI: -3.06 to -1.66, p value <0.05) for death and -2.45 (95% UI: -3.10 to -1.80, p value <0.05) for DALY. Similar trends were observed across sexes, age groups, stroke subtypes, and most states.

Conclusion: This study highlighted the pediatric stroke burden attributable to nonoptimal temperature in the USA. More resources should be directed to address the geographic health disparities observed in this study.

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来源期刊

Neuroepidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.90

自引率

1.80%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Neuroepidemiology'' is the only internationally recognised peer-reviewed periodical devoted to descriptive, analytical and experimental studies in the epidemiology of neurologic disease. The scope of the journal expands the boundaries of traditional clinical neurology by providing new insights regarding the etiology, determinants, distribution, management and prevention of diseases of the nervous system.