[2001 - 2016年厄瓜多尔缺血性心脏病死亡率。一项时间趋势研究]

[Mortality due to ischemic heart disease in Ecuador 2001- 2016. A time trend study].

作者信息

Núñez-González Solange, Aulestia-Ortiz Sandy, Borja-Villacrés Edison, Simancas-Racine Daniel

机构信息

Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Facultad de Ciencias de la Salud Eugenio Espejo, Universidad Tecnológica Equinoccial, Quito, Ecuador.

出版信息

Rev Med Chil. 2018 Aug;146(8):850-856. doi: 10.4067/s0034-98872018000800850.

DOI:10.4067/s0034-98872018000800850

PMID:30534862

Abstract

BACKGROUND

Ischemic Heart Disease (IHD) is the leading cause of mortality worldwide.

AIM

To analyze the evolution of mortality by IHD in Ecuador, from 2001 to 2016.

MATERIAL AND METHODS

Analysis of Ecuador death registries elaborated by the National Statistics and Census Institute. Specific and age-adjusted mortality rates were calculated for the 2001-2016 period in Ecuador. The annual percent change (APC) and the average annual percent change (AAPC) were estimated. Changes in trends were located through joinpoint regression analysis.

RESULTS

From 2001 to 2016 there were 46,133 deaths due to IHD in Ecuador, of which 60% (n = 27,489) corresponded to men. In the joinpoint regression analysis, the crude mortality rates for IHD reported an increase in the AAPC of 4.0% (2001-2016, 95% CI: 1.5 - 6.6). Rates adjusted for age increased with an AAPC of 3.2% (2001-2016, 95% CI: 0.7 - 5.8).

CONCLUSIONS

Mortality due to ischemic heart disease increased in Ecuador in the period 2001-2016. Two marked periods were observed, one with a decrease followed by a significant increase, in both sexes and all age groups.

摘要

背景

缺血性心脏病（IHD）是全球死亡的主要原因。

目的

分析2001年至2016年厄瓜多尔缺血性心脏病死亡率的演变情况。

材料与方法

分析由国家统计和普查研究所编制的厄瓜多尔死亡登记数据。计算了2001 - 2016年期间厄瓜多尔的特定死亡率和年龄调整死亡率。估计了年度百分比变化（APC）和平均年度百分比变化（AAPC）。通过连接点回归分析确定趋势变化。

结果

2001年至2016年，厄瓜多尔有46,133例死于缺血性心脏病，其中60%（n = 27,489）为男性。在连接点回归分析中，缺血性心脏病的粗死亡率报告显示AAPC增加了4.0%（2001 - 2016年，95%CI：1.5 - 6.6）。年龄调整后的死亡率以3.2%的AAPC上升（2001 - 2016年，95%CI：0.7 - 5.8）。