Sistino Joseph J, Fitzgerald David C
Division of Cardiovascular Perfusion, College of Health Professions, Medical University of South Carolina, USA.
Perfusion. 2017 Sep;32(6):501-506. doi: 10.1177/0267659117696140. Epub 2017 Mar 13.
By analyzing epidemiological trends in cardiovascular disease (CVD), key stakeholders can make informed decisions on the future of disease burden and treatment. Accordingly, the cardiovascular perfusion community would benefit from data that would help predict future professional resource utilization.
In 2003, the changes in the number of hospital discharges for CVD from 1990 to 2000 were published, based on data from the National Center for Health Statistics (NCHS). In this study, the NCHS database was reviewed, as well as other resources, to compile the procedure data.
Deaths due to heart disease and the number of hospital admissions for CVD have decreased over the last decade in contrast to the previous decade. Acute myocardial infarction (AMI), cardiac catheterization and angioplasty rates have also decreased. However, the percentage of the population older than 65 years of age is increasing at a much faster rate than the population growth in general. As a result, there has been a consistent increase in cardiac services utilization, such as transcatheter aortic valve replacement (TAVR), ventricular assist devices and extracorporeal life support (ECLS).
There are many different factors affecting the need for perfusionists in the future. An increasing and aging population with a higher prevalence of CVD, an increased number of hospitals offering cardiovascular services and increased access to care increases the need for perfusion services. It is important for the perfusion profession to follow these changing trends in CVD and treatment in order to plan for the future.
通过分析心血管疾病（CVD）的流行病学趋势，关键利益相关者可以就疾病负担和治疗的未来做出明智的决策。因此，心血管灌注领域将受益于有助于预测未来专业资源利用的数据。
2003年，根据国家卫生统计中心（NCHS）的数据，公布了1990年至2000年CVD住院出院人数的变化。在本研究中，对NCHS数据库以及其他资源进行了审查，以汇编程序数据。
与前十年相比，过去十年中心脏病死亡人数和CVD住院人数有所下降。急性心肌梗死（AMI）、心脏导管插入术和血管成形术的发生率也有所下降。然而，65岁以上人口的百分比增长速度比总体人口增长速度快得多。因此，心脏服务的利用率持续上升，如经导管主动脉瓣置换术（TAVR）、心室辅助装置和体外生命支持（ECLS）。
未来有许多不同因素影响对灌注师的需求。患有CVD的人口不断增加且老龄化，提供心血管服务的医院数量增加以及获得护理的机会增加，都增加了对灌注服务的需求。对于灌注专业来说，跟踪CVD和治疗方面的这些变化趋势以规划未来非常重要。
