Update on the prevention of death from ruptured abdominal aortic aneurysm
Update on the prevention of death from ruptured abdominal aortic aneurysm
复制标题
DOI：
10.1177/0969141316667409
复制
发表时间：
2017-09-01
影响因子：
2.9
通讯作者：
Earnshaw, Jonothan J.
中科院分区：
文献类型：
--
作者：
Jacomelli, Jo;Summers, Lisa;Earnshaw, Jonothan J.
目的：监测65岁男性腹主动脉瘤全国人群筛查项目的早期效果。设置：研究采用全国统计的腹主动脉瘤死亡率（国家统计局）和英格兰的住院数据（医院事件统计）。关于腹主动脉瘤死亡的信息（破裂和非破裂）（1999-2014年）和因腹主动脉瘤破裂而住院结果：从2001年到2014年，65岁及以上男性和女性腹主动脉瘤死亡的绝对人数下降了约30%，但随着人口的增加，相对减少率分别为45.6%和40.0%。所有腹主动脉瘤死亡中约65%为65岁以上的男性; 65岁及以上的女性约占31%。60-74岁男性（筛选组）腹主动脉瘤破裂死亡率似乎与75岁及以上男性的下降率相同。相对下降，在入院与破裂的腹主动脉瘤可能是更大的男性和女性年龄在60-74（其中包含筛选组的男性），比那些老年人，给第一个可能的证据，腹主动脉瘤筛查是有一个effect.Conclusion：死亡率从腹主动脉瘤在英格兰迅速下降。有第一个证据表明，筛查可能有助于这种减少。
Objectives: To monitor the early effect of a national population screening programme for abdominal aortic aneurysm in 65-year-old men.Setting: The study used national statistics for death rates from abdominal aortic aneurysm (Office of National Statistics) and hospital admission data in England (Hospital Episode Statistics).Methods: Information concerning deaths from abdominal aortic aneurysm (ruptured and non-ruptured) (1999-2014) and hospital admissions for ruptured abdominal aortic aneurysm (2000-2015) was examined.Results: The absolute number of deaths from abdominal aortic aneurysm in men and women aged 65 and over has decreased by around 30% from 2001 to 2014, but as the population has increased, the relative reduction was 45.6% and 40.0%, respectively. Some 65% of all abdominal aortic aneurysm deaths are in men aged over 65; women aged 65 and over account for around 31%. Deaths from ruptured abdominal aortic aneurysm in men aged 60-74 (the screened group) appear to be declining at the same rate as in men aged 75 and over. The relative decline in admissions to hospital with ruptured abdominal aortic aneurysm may be greater in men and women aged 60-74 (which contains the screened group of men), than those older, giving the first possible evidence that abdominal aortic aneurysm screening is having an effect.Conclusion: The death rate from abdominal aortic aneurysm is declining rapidly in England. There is the first evidence that screening may be contributing to this reduction.