Systematic review of the incidence of sudden cardiac death in the United States.

Systematic review of the incidence of sudden cardiac death in the United States.
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DOI:
10.1016/j.jacc.2010.09.064
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发表时间:
2011-02-15
影响因子:
24
通讯作者:
Al-Khatib, Sana M.
Al-Khatib, Sana M.
中科院分区:
医学1区
文献类型:
--
作者:
Kong, Melissa H.;Fonarow, Gregg C.;Peterson, Eric D.;Curtis, Anne B.;Hernandez, Adrian F.;Sanders, Gillian D.;Thomas, Kevin L.;Hayes, David L.;Al-Khatib, Sana M.

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在心脏骤停思想领袖联盟(SCATLA)最近一次由全国专家参加的智库会议上,强调了需要有关心脏性猝死(SCA)和/或心源性猝死(SCD)真实发病率的一致且最新的数据。这些专家广泛代表了主要利益相关者,包括来自美国心脏病学会、美国心脏协会和心律学会的思想领袖和代表。因此,为了评估这一公共卫生问题的真实严重程度,我们在MEDLINE中使用医学主题词(MeSH)标题“猝死”,或术语“心源性猝死”“心脏骤停”“心脏停搏”“心源性死亡”“猝死”“心律失常性死亡”进行了系统的文献检索。研究选择标准包括用于估计美国SCD发病率的原始数据的经同行评审的出版物。我们使用科学引文索引(Web of Science®)的被引参考文献检索,通过确定每个“原始来源”被引用的次数来评估每个原始估计值对医学文献的影响。在6项纳入的研究中,美国SCD的估计年发病率差异很大,从180,000到>450,000不等。这些不同的估计值部分是由于不同的数据来源(数据时间跨度从1980年到2007年)、SCD的定义、病例确定标准、估计/外推方法以及病例确定来源。美国SCA和/或SCD的真实发病率仍不清楚,现有估计值差异很大且非常陈旧。由于SCD发病率的可靠估计对于改善风险分层和预防很重要,未来显然需要努力建立SCA和SCD的统一定义,然后前瞻性地、精确地收集美国总体人群中SCA和SCD的病例。
The need for consistent and current data describing the true incidence of SCA and/or SCD was highlighted during the most recent Sudden Cardiac Arrest Thought Leadership Alliance’s (SCATLA) Think Tank meeting of national experts with broad representation of key stakeholders including thought leaders and representatives from the American College of Cardiology, American Heart Association, and the Heart Rhythm Society. As such, to evaluate the true magnitude of this public health problem, we performed a systematic literature search in MEDLINE using the MeSH headings, “death, sudden” OR the terms “sudden cardiac death” OR “sudden cardiac arrest” OR “cardiac arrest” OR “cardiac death” OR “sudden death” OR “arrhythmic death.” Study selection criteria included peer-reviewed publications of primary data used to estimate SCD incidence in the U.S. We used Web of Science®’s Cited Reference Search to evaluate the impact of each primary estimate on the medical literature by determining the number of times each “primary source” has been cited. The estimated U.S. annual incidence of SCD varied widely from 180,000 to > 450,000 among 6 included studies. These different estimates were in part due to different data sources (with data age ranging from 1980 to 2007), definitions of SCD, case ascertainment criteria, methods of estimation/extrapolation, and sources of case ascertainment. The true incidence of SCA and/or SCD in the U.S. remains unclear with a wide range in the available estimates, which are badly dated. As reliable estimates of SCD incidence are important for improving risk stratification and prevention, future efforts are clearly needed to establish uniform definitions of SCA and SCD and then to prospectively and precisely capture cases of SCA and SCD in the overall U.S. population.
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发表时间: 2004-09-15
影响因子: 24
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期刊: CIRCULATION
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