Trends in the epidemiology of cardiovascular disease in the UK.
Trends in the epidemiology of cardiovascular disease in the UK.
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英国心血管疾病流行病学的趋势。
DOI：
10.1136/heartjnl-2016-309573
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发表时间：
2016-12-15
期刊：
影响因子：
--
通讯作者：
Townsend N
中科院分区：
文献类型：
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作者：
Bhatnagar P;Wickramasinghe K;Wilkins E;Townsend N
英国的心血管疾病（CVD）死亡率正在下降;然而，CVD负担不仅来自死亡，还来自患有这种疾病的人。本综述使用国家数据集与多年的数据，目前的长期趋势，死亡率，发病率和治疗的所有CVD和特定亚型在英国。我们使用英国国家统计机构的数据，按性别编制了所有年龄和过早年龄标准化死亡率，标准化为2013年欧洲标准人口。我们从国家卫生服务记录中获得了住院数据，使用主要诊断。流行率数据来自质量和成果框架以及国家调查。1980年至2013年间，英国的总CVD死亡率下降了68%。冠心病和中风也出现了类似的下降。冠心病患病率在英格兰保持在3%左右，在苏格兰、威尔士和北方爱尔兰保持在4%左右。2010/2011年至2013/2014年期间，所有心血管疾病的住院人数增加了46 000多人，其中男性住院人数增加了36 500多人。 住院趋势因国家和CVD病情而异。CVD处方和手术在过去十年中有所增加。男性和女性的心血管疾病死亡率显著下降，而住院人数则有所增加。CVD患病率几乎没有变化的证据。这项审查强调，改善心血管疾病的负担并没有平等地发生在英国的四个组成国家之间，或男女之间。
Cardiovascular disease (CVD) mortality in the UK is declining; however, CVD burden comes not only from deaths, but also from those living with the disease. This review uses national datasets with multiple years of data to present secular trends in mortality, morbidity, and treatment for all CVD and specific subtypes within the UK. We produced all-ages and premature age-standardised mortality rates by gender, standardised to the 2013 European Standard Population, using data from the national statistics agencies of the UK. We obtained data on hospital admissions from the National Health Service records, using the main diagnosis. Prevalence data come from the Quality and Outcome Framework and national surveys. Total CVD mortality declined by 68% between 1980 and 2013 in the UK. Similar decreases were seen for coronary heart disease and stroke. Coronary heart disease prevalence has remained constant at around 3% in England and 4% in Scotland, Wales, and Northern Ireland. Hospital admissions for all CVD increased by over 46 000 between 2010/2011 and 2013/2014, with more than 36 500 of these increased admissions for men. Hospital admission trends vary by country and CVD condition. CVD prescriptions and operations have increased over the last decade. CVD mortality has declined notably for both men and women while hospital admissions have increased. CVD prevalence shows little evidence of change. This review highlights that improvements in the burden of CVD have not occurred equally between the four constituent countries of the UK, or between men and women.