美国缺血性心脏病死亡率的趋势和差异:1999-2020年CDC WONDER数据库分析

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Muhammad Abdullah Naveed, Faizan Ahmed, Sherif Eltawansy, Ahila Ali, Zaima Afzaal, Bazil Azeem, Muhammad Kashan, Kainat Aman, Mushood Ahmed, Hritvik Jain, Omar Kamil, Faseeh Haider, Rabia Iqbal, Aman Ullah, Nisar Asmi, Muhammad Faizan Ali
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引用次数: 0

摘要

背景:缺血性心脏病(IHD)仍然是全球死亡的主要原因,在美国有很高的患病率,有必要了解长期趋势,为干预措施提供信息。考虑到人口和地理差异,本研究调查了1999年至2020年美国成年人中与ihd相关的死亡率趋势。目的:本研究旨在评估美国成人IHD相关死亡率的模式和地理差异。方法:分析1999年至2020年CDC WONDER数据库中的死亡证明,调查35岁及以上成人与IHD相关的死亡率。计算每10万人的年龄调整死亡率(AAMRs)和年变化百分比,并按年份、性别、种族/民族和地理区域分层。结果:1999年至2020年,美国35岁及以上成年人中IHD导致12 756 359人死亡。综合抗逆性药物死亡率的年趋势从1999年的48.7下降到2020年的28.9,波动明显。男性的aamr始终高于女性。非西班牙裔黑人或非洲裔美国人的aamr最高。从地理上看,各州和地区之间存在显著差异,东北部的死亡率最高。非大都市地区的aamr始终高于大都市地区,在研究期间呈现出不同的趋势。结论:在研究期间观察到IHD患者死亡率趋势的波动,揭示了人口统计学和地理参数之间的显著差异。有针对性的干预措施是必要的,以减轻IHD的负担和降低死亡率在美国。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends and disparities in ischemic heart disease mortality in the United States: an analysis of CDC WONDER database, 1999-2020.

Background: Ischemic heart disease (IHD) remains a leading cause of mortality globally and has a high prevalence in the USA, necessitating an understanding of long-term trends to inform interventions. Considering demographic and geographic disparities, this study examines IHD-related mortality trends among US adults from 1999 to 2020.

Aim: This study aimed to evaluate patterns and geographical variations in mortality associated with IHD among adults in the USA.

Methods: Death certificates from the CDC WONDER database spanning from 1999 to 2020 were analyzed to investigate mortality related to IHD among adults aged 35 years and above. Age-adjusted mortality rates (AAMRs) per 100 000 persons and annual percent change were calculated and stratified by year, sex, race/ethnicity, and geographic region.

Results: IHD caused 12 756 359 deaths among U.S. adults aged 35 and above from 1999 to 2020. Annual trends in AAMRs declined from 48.7 in 1999 to 28.9 in 2020, with notable fluctuations. Men consistently had higher AAMRs than women. Non-Hispanic Black or African American individuals exhibited the highest AAMRs. Geographically, significant disparities existed among states and regions, with the Northeast having the highest mortality. Nonmetropolitan areas consistently had higher AAMRs than metropolitan areas, showing varying trends over the study period.

Conclusion: Fluctuations in mortality trends among IHD patients were observed over the study duration, revealing significant disparities across demographic and geographic parameters. Targeted interventions are imperative to alleviate the burden of IHD and mitigate mortality rates in the USA.

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来源期刊
Coronary artery disease
Coronary artery disease 医学-外周血管病
CiteScore
2.50
自引率
0.00%
发文量
190
审稿时长
6-12 weeks
期刊介绍: Coronary Artery Disease welcomes reports of original research with a clinical emphasis, including observational studies, clinical trials, translational research, novel imaging, pharmacology and interventional approaches as well as advances in laboratory research that contribute to the understanding of coronary artery disease. Each issue of Coronary Artery Disease is divided into four areas of focus: Original Research articles, Review in Depth articles by leading experts in the field, Editorials and Images in Coronary Artery Disease. The Editorials will comment on selected original research published in each issue of Coronary Artery Disease, as well as highlight controversies in coronary artery disease understanding and management. Submitted artcles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and​ peer-review by the editors and those invited to do so from a reviewer pool.
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