Schocken D D, Arrieta M I, Leaverton P E, Ross E A
Department of Internal Medicine, College of Medicine, University of South Florida, Tampa 33612.
J Am Coll Cardiol. 1992 Aug;20(2):301-6. doi: 10.1016/0735-1097(92)90094-4.
The study was designed to determine the prevalence and mortality rate of congestive heart failure in noninstitutionalized men and women in the U.S.
Congestive heart failure is a serious condition with significant morbidity and mortality. Earlier epidemiologic descriptions of congestive heart failure were constructed from small surveys, limited data, hospital records or death certificates. No nationally representative data from noninstitutionalized persons have been examined.
Data collected from the National Health and Nutrition Examination Survey (NHANES-I, 1971 to 1975) were used to determine the prevalence of heart failure on the basis of both self-reporting and a clinical definition. Mortality data were derived from the NHANES-I Epidemiologic Follow-up Study (1982 to 1986).
The prevalence of self-reported congestive heart failure approximates 1.1% of the noninstitutionalized U.S. adult population; the prevalence of congestive heart failure based on clinical criteria is 2%. These estimates suggest that between 1 and 2 million adults are affected. Mortality at 10 and 15 years for those persons with congestive heart failure increases in graded fashion with advancing age, with men more likely to die than women. In the group greater than or equal to 55 years old, the 15-year total mortality rate was 39.1% for women and 71.8% for men.
Congestive heart failure is a common problem in the U.S., with significant prevalence and mortality, both of which increase with advancing age. As the population of the U.S. becomes older, the health care impact of congestive heart failure will probably grow.
本研究旨在确定美国非机构化男女充血性心力衰竭的患病率和死亡率。
充血性心力衰竭是一种严重疾病，具有较高的发病率和死亡率。早期关于充血性心力衰竭的流行病学描述是基于小型调查、有限数据、医院记录或死亡证明构建的。尚未对来自非机构化人群的全国代表性数据进行研究。
利用从国家健康和营养检查调查（NHANES - I，1971年至1975年）收集的数据，根据自我报告和临床定义来确定心力衰竭的患病率。死亡率数据来自NHANES - I流行病学随访研究（1982年至1986年）。
自我报告的充血性心力衰竭患病率约为美国非机构化成年人口的1.1%；基于临床标准的充血性心力衰竭患病率为2%。这些估计表明有100万至200万成年人受到影响。充血性心力衰竭患者10年和15年的死亡率随年龄增长呈分级增加，男性比女性更易死亡。在年龄大于或等于55岁的人群中，15年总死亡率女性为39.1%，男性为71.8%。
充血性心力衰竭在美国是一个常见问题，具有较高的患病率和死亡率，且两者均随年龄增长而增加。随着美国人口老龄化，充血性心力衰竭对医疗保健的影响可能会增大。
