Siddique R M, Siddique M I, Rimm A A
Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio, USA.
Am J Public Health. 1998 Mar;88(3):478-80. doi: 10.2105/ajph.88.3.478.
This study determined race-, age- and sex-specific trends in 30-day pulmonary embolism mortality rates.
Medicare beneficiaries with a primary or secondary discharge diagnosis of pulmonary embolism from 1984 to 1991 (n = 391,991) were examined.
For a primary diagnosis of pulmonary embolism, mortality rates declined by 15.2% and 16.0%, respectively, for White male patients 65 to 74 years old and 75 years or older. There was a corresponding decline in mortality rates for White women. For a secondary diagnosis of pulmonary embolism, mortality rates declined by 14.7% and 9.8%, respectively, for White male patients 65 to 74 years old and 75 years or older.
The White mortality rate declines revealed in this study did not translate, in all cases, to Black patient groups.
本研究确定了30天肺栓塞死亡率的种族、年龄和性别特异性趋势。
对1984年至1991年期间主要或次要出院诊断为肺栓塞的医疗保险受益人（n = 391,991）进行了检查。
对于肺栓塞的主要诊断，65至74岁和75岁及以上的白人男性患者死亡率分别下降了15.2%和16.0%。白人女性的死亡率也相应下降。对于肺栓塞的次要诊断，65至74岁和75岁及以上的白人男性患者死亡率分别下降了14.7%和9.8%。
本研究中揭示的白人死亡率下降情况在所有情况下并未转化为黑人患者群体的情况。
