Cayuela A, Cayuela L, Escudero-Martínez I, Rodríguez-Domínguez S, González A, Moniche F, Jiménez M D, Montaner J
Unidad de Gestión Clínica de Salud Pública, Prevención y Promoción de la Salud, Hospital de Valme, Área de Gestión Sanitaria Sur de Sevilla, Sevilla, España.
Facultad de Medicina, Universidad de Sevilla, Sevilla, España.
Neurologia. 2016 Jul-Aug;31(6):370-8. doi: 10.1016/j.nrl.2014.09.002. Epub 2014 Dec 15.
In recent decades, mortality rates for cerebrovascular diseases (CVD) have declined significantly in many countries. This study analyses changes in CVD mortality rates in Spain (1980-2011) to determine if previously observed trends remain.
Data on CVD mortality rates and the population data needed for the analysis were provided by Spain's National Statistics Institute. We calculated age-specific mortality rate, age-standardised overall mortality, and age-truncated mortality (35-64 years) using the direct method and standard European population structure. Joinpoint analysis was used to estimate the percentage of annual change in rates and identify significant changes in trends.
CVD mortality rate decreased considerably and continuously over the last 32 years in all age groups and in both sexes in Spain. For both sexes, joinpoint analysis identifies a final period with more marked decline: 2005-2011 in women (-6.3%) and 2007-2011 in men (-7.2%).
CVD mortality rates displayed a marked and continuous decline in Spain between 1980 and 2011. Due to the ageing of the population, doctors expect an increase in CVD prevalence and therefore its magnitude in terms of disability and healthcare costs, which poses a challenge to our health system.
近几十年来，许多国家的脑血管疾病（CVD）死亡率显著下降。本研究分析了西班牙1980 - 2011年期间CVD死亡率的变化，以确定之前观察到的趋势是否依然存在。
CVD死亡率数据以及分析所需的人口数据由西班牙国家统计局提供。我们使用直接法和标准欧洲人口结构计算了特定年龄死亡率、年龄标准化总死亡率以及年龄截断死亡率（35 - 64岁）。连接点分析用于估计年变化率百分比并确定趋势的显著变化。
在过去32年中，西班牙所有年龄组和两性的CVD死亡率均大幅且持续下降。对于两性而言，连接点分析确定了一个下降更为明显的末期：女性为2005 - 2011年（-6.3%），男性为2007 - 2011年（-7.2%）。
1980年至2011年期间，西班牙的CVD死亡率显著且持续下降。由于人口老龄化，医生预计CVD患病率将会上升，进而其在残疾和医疗成本方面的规模也会增加，这对我们的卫生系统构成了挑战。
