社会脆弱性指数对房颤死亡结局进行风险分层的效用。
Utility of the social vulnerability index to risk stratify atrial fibrillation mortality outcomes.
作者信息
Ibrahim Ramzi, Ravi Soumiya, Habib Adam, Lee Justin Z
机构信息
Department of Medicine University of Arizona - Banner University Medical Center Tucson Arizona USA.
Department of Cardiovascular Medicine Cleveland Clinic, Cleveland Cleveland Ohio USA.
出版信息
J Arrhythm. 2023 May 24;39(4):669-671. doi: 10.1002/joa3.12871. eCollection 2023 Aug.
Abstract
BACKGROUND
Multiple methods of quantifying social determinants of health exist, such as the social vulnerability index (SVI). We assess the impact of the SVI on atrial fibrillation (AF)-related cardiovascular disease mortality.
METHODS
CDC databases were used to obtain mortality and SVI information. Age-adjusted mortality rates (AAMR) were compared among all US counties, aggregated by SVI quartiles.
RESULTS
AAMR was not increased in counties within the highest SVI quartile, consistent across gender and geographic subgroups.
CONCLUSIONS
Increased SVI is a poor marker to predict mortality outcomes associated with AF.
摘要
背景
存在多种量化健康社会决定因素的方法，如社会脆弱性指数（SVI）。我们评估SVI对心房颤动（AF）相关心血管疾病死亡率的影响。
方法
使用疾病控制与预防中心（CDC）数据库获取死亡率和SVI信息。按SVI四分位数汇总，比较美国所有县的年龄调整死亡率（AAMR）。
结果
SVI四分位数最高的县的AAMR并未增加，在性别和地理亚组中均一致。
结论
SVI升高并不是预测与AF相关死亡率结果的良好指标。
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