Gènova-Maleras Ricard, Álvarez-Martín Elena, Catalá-López Ferrán, Fernández de Larrea-Baz Nerea, Morant-Ginestar Consuelo
Servicio de Informes de Salud y Estudios, Subdirección de Promoción de la Salud y Prevención, Consejería de Sanidad, Comunidad de Madrid, Madrid, España.
Gac Sanit. 2011 Dec;25 Suppl 2:47-50. doi: 10.1016/j.gaceta.2011.09.018. Epub 2011 Dec 3.
We analyzed the burden of disease in the elderly population in Spain in 2008.
A population-based cross-sectional study was performed to calculate the disability-adjusted life years (DALYs) of the Spanish population aged ≥ 60 years old. DALYs are the sum of the number of years of life lost (YLLs) and the number of years lived with disability (YLDs). Data sources included the national mortality register for YLLs, and inference of Euro-A subregion (including Spain) estimates for YLDs.
In the elderly population, DALYs lost due to all diseases were estimated at 2.1 million. The main causes of DALYs were malignancies (21.3%), neuropsychiatric disorders (21.1%) and cardiovascular diseases (20.4%). The main specific subcategories were dementias, ischemic heart disease, cerebrovascular disease, chronic obstructive pulmonary disease, lung cancer, hearing loss and osteoarthritis.
Burden of disease analysis allows distinct health problems to be reassessed in relation to classical mortality analysis.
我们分析了2008年西班牙老年人口的疾病负担。
开展了一项基于人群的横断面研究，以计算60岁及以上西班牙人口的伤残调整生命年（DALYs）。伤残调整生命年是失能生命年数（YLLs）和残疾生存年数（YLDs）之和。数据来源包括用于失能生命年数的国家死亡登记册，以及对欧洲A次区域（包括西班牙）残疾生存年数估计值的推断。
在老年人口中，因所有疾病导致的伤残调整生命年估计为210万。伤残调整生命年的主要原因是恶性肿瘤（21.3%）、神经精神疾病（21.1%）和心血管疾病（20.4%）。主要的具体亚类是痴呆症、缺血性心脏病、脑血管疾病、慢性阻塞性肺疾病、肺癌、听力损失和骨关节炎。
疾病负担分析有助于根据传统死亡率分析重新评估不同的健康问题。
