Improving the public health utility of global cardiovascular mortality data: the rise of ischemic heart disease.
Improving the public health utility of global cardiovascular mortality data: the rise of ischemic heart disease.
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改善全球心血管死亡率数据的公共卫生实用性：缺血性心脏病的兴起。
DOI：
10.1186/1478-7954-9-8
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发表时间：
2011-03-15
影响因子：
3.3
通讯作者：
Murray CJ
中科院分区：
文献类型：
--
作者：
Ahern RM;Lozano R;Naghavi M;Foreman K;Gakidou E;Murray CJ
高质量的、具体原因的死亡率数据对于有效的卫生政策至关重要。然而，在全球死亡率数据中，模糊的死因编码（如心力衰竭）非常普遍。我们提出了一种经验方法，纠正使用心力衰竭作为死亡的根本原因的死亡率数据。我们对所有可用的ICD-10死亡率数据进行了按性别、年龄和国家发展状况分层的回归分析，这些数据包括838个国家年的1.42亿例死亡。该分析产生了预测分数，用于将心力衰竭归因的死亡重新分配到适当的潜在死亡原因。计算校正前和校正后的死亡率和死亡原因等级。心力衰竭占数据集中所有死亡人数的3.1%。缺血性心脏病在15-49岁和50岁以上年龄段的男女和国家发展水平中的再分配比例最高，导致发达国家和发展中国家的年龄调整死亡率增加。慢性阻塞性肺病和高血压性心脏病也有显著的排名上升。发展中国家育龄妇女-年产生最多样化的心力衰竭原因。缺血性心脏病成为包括法国和日本在内的几个发达国家的头号死亡原因，突出了高收入国家的心血管流行病。在阿根廷和南非等中低收入国家，缺血性心脏病的死亡率增加，突显了在公共卫生工作历来侧重于传染病的地区，心血管疾病流行的上升。这一方法最大限度地利用了现有数据，提供了关于主要死亡原因的更好证据，为决策者分配有限资源提供了依据。
High-quality, cause-specific mortality data are critical for effective health policy. Yet vague cause of death codes, such as heart failure, are highly prevalent in global mortality data. We propose an empirical method correcting mortality data for the use of heart failure as an underlying cause of death. We performed a regression analysis stratified by sex, age, and country development status on all available ICD-10 mortality data, consisting of 142 million deaths across 838 country-years. The analysis yielded predicted fractions with which to redistribute heart failure-attributed deaths to the appropriate underlying causes of death. Age-adjusted death rates and rank causes of death before and after correction were calculated. Heart failure accounts for 3.1% of all deaths in the dataset. Ischemic heart disease has the highest redistribution proportion for ages 15-49 and 50+ in both sexes and country development levels, causing gains in age-adjusted death rates in both developed and developing countries. COPD and hypertensive heart disease also make significant rank gains. Reproductive-aged women in developing country-years yield the most diverse range of heart failure causes. Ischemic heart disease becomes the No. 1 cause of death in several developed countries, including France and Japan, underscoring the cardiovascular epidemic in high-income countries. Age-adjusted death rate increases for ischemic heart disease in low- and middle-income countries, such as Argentina and South Africa, highlight the rise of the cardiovascular epidemic in regions where public health efforts have historically focused on infectious diseases. This method maximizes the use of available data, providing better evidence on major causes of death to inform policymakers in allocating finite resources.
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影响因子：
3.5
作者：
Mendez, GF;Cowie, MR
通讯作者：
Cowie, MR
DOI：
10.1016/0735-1097(93)90455-a
发表时间：
1993-10-01
影响因子：
24
作者：
HO, KKL;PINSKY, JL;LEVY, D
通讯作者：
LEVY, D
影响因子：
56.9
作者：
Murray, CJL;Lopez, AD
通讯作者：
Lopez, AD
影响因子：
3.3
作者：
Naghavi M;Makela S;Foreman K;O'Brien J;Pourmalek F;Lozano R
通讯作者：
Lozano R
影响因子：
39.2
作者：
Lloyd-Jones, DM;Martin, DO;Levy, D
通讯作者：
Levy, D