Lancet respir med:北美地区肺栓塞有关的死亡率变化趋势研究

2020-10-13 MedSci原创 MedSci原创

总体上,北美肺栓塞有关的死亡率呈现下降趋势,加拿大达到一个平稳期,而在美国,年轻人和中年人中观察到了死亡率反弹增长。这一现象与其他心血管疾病死亡率的上升趋势相似,反映出美国民众危险因素暴露和医疗保健获

近年来欧洲肺栓塞(PE)相关的死亡率正在下降,但最近的北美PE相关死亡率研究已经是21世纪初的内容,不具有时效性。近日研究人员开展回顾性流行病学研究,考察了北美地区PE相关死亡率随时间的变化趋势。

研究人员从世卫组织数据库(美国和加拿大,2000-17年)和美国疾病控制和预防中心(CDC;美国,2000-18)的多死因数据库中获取了医学认证的登记数据,调查了美国和加拿大PE相关死亡率的当代时间趋势,以及死亡证明上报告的导致PE相关死亡率的疾病流行率。研究人员还按年龄组和性别估计了PE相关死亡率。按种族对美国进行了亚组分析。

在美国,PE为潜在原因的年龄标准化年度死亡率从2000年的每10万人口中6.0人下降到2006年每10万人口中4.4人。此后,2017年女性死亡率继续下降至每10万人口中4.1人死亡,2017年男性死亡率保持在每10万人口中4.5人死亡。在25至64岁的成年人中,2006年以后,这一比例有所上升。死于PE的平均年龄从73岁下降到68岁。从2000年到2018年,因癌症、呼吸道疾病和感染诱发PE相关死亡事件增加,导致所有年龄类别中的PE患病率都有所增加。黑人与年龄标准化的PE相关的年死亡率始终比高于白人个体高50%。在加拿大,PE作为潜在死因的年化-年龄标准化死亡率从2000年的每10万人口4.7人下降到2017年的每10万人口2.6人死亡;2006年以后,各年龄组和性别的下降速度有所减缓。

总体上,北美肺栓塞有关的死亡率呈现下降趋势,加拿大达到一个平稳期,而在美国,年轻人和中年人中观察到了死亡率反弹增长。这一现象与其他血管疾病死亡率的上升趋势相似,反映出美国民众危险因素暴露和医疗保健获得方面的日益不平等正在加剧。

原始出处:

Stefano Barco et al. Age-sex specific pulmonary embolism-related mortality in the USA and Canada, 2000-18: an analysis of the WHO Mortality Database and of the CDC Multiple Cause of Death database. Lancet respir med. October 12, 2020.

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    2021-09-28 howi
  2. [GetPortalCommentsPageByObjectIdResponse(id=1830855, encodeId=0696183085523, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 28 06:29:08 CST 2021, time=2021-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894770, encodeId=1850894e7022, content=近年来欧洲肺栓塞(PE)相关的死亡率正在下降,但最近的北美PE相关死亡率研究已经是21世纪初的内容,不具有时效性。, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:53:44 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1610752, encodeId=3b011610e52e8, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Oct 15 09:29:08 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891926, encodeId=541589192650, content=北美肺栓塞有关的死亡率呈现下降趋势,加拿大达到一个平稳期,而在美国,年轻人和中年人中观察到了死亡率反弹增长。这一现象与其他心血管疾病死亡率的上升趋势相似,反映出美国民众危险因素暴露和医疗保健获得方面的日益不平等正在加剧。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201004/c1ecfbef1d484e98a6bb7ff69127f6c7/51d32202081c49c49757fe4718395ff0.jpg, createdBy=376e2102702, createdName=小精灵1818, createdTime=Wed Oct 14 08:11:18 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1034000, encodeId=c6c3103400042, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Tue Oct 13 21:29:08 CST 2020, time=2020-10-13, status=1, ipAttribution=)]
    2020-10-27 Lexi

    近年来欧洲肺栓塞(PE)相关的死亡率正在下降,但最近的北美PE相关死亡率研究已经是21世纪初的内容,不具有时效性。

    0

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  4. [GetPortalCommentsPageByObjectIdResponse(id=1830855, encodeId=0696183085523, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Tue Sep 28 06:29:08 CST 2021, time=2021-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894770, encodeId=1850894e7022, content=近年来欧洲肺栓塞(PE)相关的死亡率正在下降,但最近的北美PE相关死亡率研究已经是21世纪初的内容,不具有时效性。, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:53:44 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1610752, encodeId=3b011610e52e8, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Thu Oct 15 09:29:08 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891926, encodeId=541589192650, content=北美肺栓塞有关的死亡率呈现下降趋势,加拿大达到一个平稳期,而在美国,年轻人和中年人中观察到了死亡率反弹增长。这一现象与其他心血管疾病死亡率的上升趋势相似,反映出美国民众危险因素暴露和医疗保健获得方面的日益不平等正在加剧。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201004/c1ecfbef1d484e98a6bb7ff69127f6c7/51d32202081c49c49757fe4718395ff0.jpg, createdBy=376e2102702, createdName=小精灵1818, createdTime=Wed Oct 14 08:11:18 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1034000, encodeId=c6c3103400042, content=顶刊就是不一样,质量很高,内容精彩!学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=goodbing, createdTime=Tue Oct 13 21:29:08 CST 2020, time=2020-10-13, status=1, ipAttribution=)]
    2020-10-14 小精灵1818

    北美肺栓塞有关的死亡率呈现下降趋势,加拿大达到一个平稳期,而在美国,年轻人和中年人中观察到了死亡率反弹增长。这一现象与其他心血管疾病死亡率的上升趋势相似,反映出美国民众危险因素暴露和医疗保健获得方面的日益不平等正在加剧。

    0

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    2020-10-13 goodbing

    顶刊就是不一样,质量很高,内容精彩!学到很多

    0

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病例:是Covid-19诱发了肺栓塞吗?

患者,女,75岁,Covid-19检测阳性,因严重的双侧肺炎住院,CT证实了双侧肺栓塞的存在,与肺实质大量磨玻璃样混浊有关。该病例发布在《European Heart Journal》上。

Radiology:冠脉CT可一石多鸟!还可查肺栓塞、癌症、骨质疏松

冠脉CT已经超越了心脏检查。近日,一项纳入1487位参与者的丹麦研究显示,常规做冠脉CT时,“顺便”检查胸椎骨矿物质密度有助于筛查骨质疏松。