2004 年至 2019 年伊朗南部缺血性心脏病死亡率和寿命损失年数：一项基于人群的研究。

Mortality Rate and Years of Life Lost Due to Ischemic Heart Disease in Southern Iran between 2004 and 2019: A Population-Based Study.

机构信息

Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Arch Iran Med. 2024 Sep 1;27(9):494-500. doi: 10.34172/aim.28159.

DOI:10.34172/aim.28159

PMID:39465524

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11496604/

Abstract

BACKGROUND

Cardiovascular diseases (CVDs) account for one-third of all deaths worldwide.

METHODS

In this cross-sectional study, we extracted all death records from the Electronic Death Registration System categorized as ischemic heart disease (IHD) based on age, gender, and the year of death according to ICD-10 for this cross-sectional analysis. The Fars province is situated in southern Iran with a population of about 4 million. An analysis of years of life lost (YLL) resulting from premature death from IHD was conducted using the World Health Organization's 2015 YLL framework. The trend of the YLL rates was investigated using joinpoint regression.

RESULTS

In the Fars province, IHD was the cause of 46969 deaths throughout a 16-year study period, (2004 to 2019). Among these, 26,503 (56.4%) were men. The crude death rates per 100000 population for men and women were 84.2 and 66.5, respectively. The total YLL due to premature death due to IHD, during the 16-year study period, was 287625 in male, 209665 in female. The joinpoint regression showed a declining trend in the YLL rate associated with premature death. Annual Percent Change (APC) was -0.6% (95% CI -6.9 to 6.1, =0.851) for males and -1.5% (95% CI -5.2 to 2.2, =0.418) for females.

CONCLUSION

The trends of the standardized mortality rate, YLL, and crude mortality rate held steady throughout a 16-year period. Planning for comprehensive primary and secondary prevention and increasing public knowledge of IHD are necessary.

摘要

背景

心血管疾病（CVDs）占全球所有死亡人数的三分之一。

方法

在这项横断面研究中，我们根据 ICD-10 从电子死亡登记系统中提取了所有按年龄、性别和死亡年份分类为缺血性心脏病（IHD）的死亡记录，用于这项横断面分析。法尔斯省位于伊朗南部，人口约为 400 万。使用世界卫生组织 2015 年 YLL 框架分析了因 IHD 过早死亡而导致的生命损失年（YLL）。使用 Joinpoint 回归分析了 YLL 率的趋势。

结果

在法尔斯省，16 年的研究期间（2004 年至 2019 年），IHD 是 46969 例死亡的原因。其中，26503 例（56.4%）为男性。男性和女性每 100000 人口的粗死亡率分别为 84.2 和 66.5。在 16 年的研究期间，由于 IHD 导致的过早死亡而导致的总 YLL 为男性 287625 年，女性 209665 年。Joinpoint 回归显示，与过早死亡相关的 YLL 率呈下降趋势。男性的年百分比变化（APC）为-0.6%（95%CI-6.9 至 6.1，=0.851），女性为-1.5%（95%CI-5.2 至 2.2，=0.418）。