Secular trends in deaths from cardiovascular diseases - A 25-year community study
Secular trends in deaths from cardiovascular diseases - A 25-year community study
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DOI：
10.1161/circulationaha.105.590463
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发表时间：
2006-05-16
期刊：
影响因子：
37.8
通讯作者：
Roger, Veronique L.
中科院分区：
文献类型：
--
作者：
Gerber, Yariv;Jacobsen, Steven J.;Roger, Veronique L.
背景-虽然年龄调整的心血管疾病（CVD）死亡率在过去的几十年中有所下降，但关于这种趋势在死亡和疾病类别的不同地点是否相似以及年龄和性别差异的存在，仍然存在争议。方法和结果-我们使用美国心脏协会定义的类别，在1979年至2003年期间，研究了明尼苏达州奥姆斯特德县CVD死亡率趋势。包括冠心病（CHD）、心脏的非CHD疾病和非心源性循环疾病。对所有6378名死于心血管疾病的居民的人口统计学资料、原因和死亡地点进行了分析。虽然所有群体的年龄调整率都有所下降，但下降的幅度差别很大。院外死亡率的年下降率低于院内死亡率（1.8%对4.8%; P < 0.001），老年人的年下降率低于年轻人（≥ 85岁为1.5%对3.9%）。
Background-Although age-adjusted cardiovascular disease (CVD) mortality has declined over the past decades, controversies remain about whether this trend was similar across locations of death and disease categories and about the existence of age and sex disparities.Methods and Results-We examined CVD mortality trends in Olmsted County, Minnesota, between 1979 and 2003 using the categories defined by the American Heart Association, including coronary heart disease (CHD), non-CHD diseases of the heart, and noncardiac circulatory diseases. Data on demographics, cause, and location of death of all 6378 residents who died of CVD were analyzed. Although decreases in the age-adjusted rates occurred in all groups, the magnitude of the decline varied widely. Lesser annual declines were noted in out-of-hospital than in-hospital deaths (1.8% versus 4.8%; P < 0.001), in older than in younger persons (1.5% at age >= 85 years versus 3.9% for those