Rahman Hafsah Alim Ur, Salman Afia, Fahim Muhammad Ahmed Ali, Moeed Abdul, Hasibuzzaman Md Al
Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Department of Medicine, Niramoy Hospital, Panchagarh, Bangladesh.
Ann Med Surg (Lond). 2025 Jan 9;87(1):234-241. doi: 10.1097/MS9.0000000000002850. eCollection 2025 Jan.
To analyze mortality rates due to complications of cardiac and vascular prosthetic devices, implants, and grafts in the United States, International Classification of Diseases, Tenth Revision, codes were used on the Centers for Disease Control and Prevention Wide-Ranging OnLine Data for Epidemiologic Research (CDC WONDER) database to retrieve death certificate data between the years 1999 and 2020 for patients aged 55 and above. Age-adjusted mortality rates (AAMRs), per 100 000 people, and annual percentage change along with their respective 95% confidence intervals were also calculated. Complications of cardiac and vascular prosthetic devices, implants, and grafts were responsible for 91 539 deaths among adults aged 55 years and older. The overall AAMR decreased from 9.2 in 1999 to 3.4 in 2020. AAMRs for men were higher than for women (overall AAMR men: 7.5; women: 4.5). Stratifying patients according to race the order of AAMRs from highest to lowest was as follows: non-Hispanic Black or African American (6.8), NH White: (5.9), NH American Indian or Alaska Native (5.7), Hispanic or Latino (4.0) and lastly NH Asian or Pacific Islander (3.2). State wise the top 90th percentile states with regard to mortality included West Virginia, South Carolina, Mississippi, North Dakota, and Alabama. In census regions the South had the highest AAMR (6.2) followed by the Midwest (6.0), the Northeast (5.4), and the West (5.1) with nonmetropolitan areas having higher AAMRs (7.0) than metropolitan areas (5.4). Further research and a more individualized pattern of treatment of older patients are necessary moving forward.
为分析美国心脏和血管假体装置、植入物及移植物并发症导致的死亡率，我们使用国际疾病分类第十版编码，在疾病控制与预防中心的广泛在线流行病学研究数据（CDC WONDER）数据库中检索1999年至2020年期间55岁及以上患者的死亡证明数据。还计算了每10万人的年龄调整死亡率（AAMR）、年度百分比变化及其各自的95%置信区间。心脏和血管假体装置、植入物及移植物的并发症导致55岁及以上成年人中有91539人死亡。总体AAMR从1999年的9.2降至2020年的3.4。男性的AAMR高于女性（总体AAMR男性：7.5；女性：4.5）。按种族对患者进行分层，AAMR从高到低的顺序如下：非西班牙裔黑人或非裔美国人（6.8）、非西班牙裔白人（5.9）、非西班牙裔美国印第安人或阿拉斯加原住民（5.7）、西班牙裔或拉丁裔（4.0），最后是非西班牙裔亚裔或太平洋岛民（3.2）。按州划分，死亡率处于第90百分位的前几个州包括西弗吉尼亚州、南卡罗来纳州、密西西比州、北达科他州和阿拉巴马州。在人口普查区域中，南部的AAMR最高（6.2），其次是中西部（6.0）、东北部（5.4）和西部（5.1），非大都市地区的AAMR（7.0）高于大都市地区（5.4）。未来需要进一步研究并为老年患者制定更个性化的治疗模式。
