Increased coronary heart disease mortality after the Hanshin-Awaji earthquake among the older community on Awaji Island
Increased coronary heart disease mortality after the Hanshin-Awaji earthquake among the older community on Awaji Island
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DOI：
10.1111/j.1532-5415.1997.tb03096.x
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发表时间：
1997-05-01
影响因子：
6.3
通讯作者：
Ohashi, T
中科院分区：
文献类型：
--
作者：
Kario, K;Ohashi, T
目的：探讨地震致冠心病(CHD)死亡的特点。研究对象：1995年1月17日，日本兵库县南部发生里氏7.2级大地震。我们调查了Tsuna地区情商导致的冠心病死亡(心肌梗死和猝死)的特征，该地区是一个老年人口众多的社区(总人口64,000人中31%的人是60岁或以上)，包括震中和受损最严重的地区之一。测量：根据能够继续为情商患者提供服务而不受这一灾难情况中断的医生的记录，直接获取与情商相关的CHD死亡率。结果：情商后几个月冠心病死亡人数增加，从1995年1月17日至4月30日，总人数为45人，这比前一年同期(1994年)的31人死亡人数高出1.5倍。情商后冠心病死亡均发生在60岁以上人群，且与情商损伤呈正相关。在发病时间方面，冠心病死亡的发生率是对照组的1.8倍(P
OBJECTIVES: To investigate the characteristics of earthquake (EQ)-induced coronary heart disease (CHD) deaths.SETTING AND PARTICIPANTS: On January 17, 1995, the south part of Hyogo Prefecture in Japan was struck by a major EQ (Hanshin-Awaji EQ) measuring 7.2 on the Richter scale. We investigated the characteristics of EQ-induced CHD deaths (myocardial infarction and sudden death) in the Tsuna region, which is a community with a large older population (31% of the total of 64,000 residents are 60 years of age or older) and includes the epicenter and one of the most heavily damaged areas.MEASUREMENTS: EQ-related CHD mortality on the basis of direct access to records of physicians who were able to continue services for the EQ victims without interruption by this disaster situation.RESULTS: Coronary heart disease deaths increased for a few months after the EQ, and the total number from January 17 to April 30, 1995, was 45, which was significantly (1.5 times) higher than the 31 deaths during the same period of the previous year (1994). The CHD deaths after the EQ all occurred in individuals more than 60 years of age and had a positive correlation with EQ-induced damages. Concerning the onset time, CHD deaths occurred 1.8 times more often (P