Disparities in cardiac arrest mortality among patients with chronic kidney disease: A US-based epidemiological analysis

IF 1.7 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2025-01-10 DOI:10.1002/joa3.13217

Mahek Shahid MD, Hoang Nhat Pham MD, Ramzi Ibrahim MD, Enkhtsogt Sainbayar DO, Mahmoud Abdelnabi MBBCh, MSc, Girish Pathangey MD, Amitoj Singh MD

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Abstract

Background

Chronic kidney disease (CKD) increases cardiac arrest (CA) risk because of renal and cardiovascular interactions.

Methods

Using Centers for Disease Control and Prevention (CDC) data from 1999 to 2020, we analyzed CKD-related CA mortality and the impact of social vulnerability index (SVI).

Results

We identified 336 494 CKD-related CA deaths, with stable age-adjusted mortality rates over time. Disparities were observed across gender, racial/ethnic, and geographic subpopulations, with higher mortality among males, Hispanic and non-Hispanic Black populations, and those in urban and Western regions. Higher SVI correlated with increased mortality.

Conclusions

CKD-related CA mortality rates are stable, with disparities across demographics; higher SVI correlates with increased mortality, highlighting needed interventions.

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慢性肾病患者心脏骤停死亡率的差异：美国流行病学分析

背景：慢性肾脏疾病（CKD）增加心脏骤停（CA）的风险，因为肾脏和心血管相互作用。方法：利用1999 - 2020年美国疾病控制与预防中心（CDC）的数据，分析ckd相关的CA死亡率和社会脆弱性指数（SVI）的影响。结果：我们确定了336494例ckd相关的CA死亡，随着时间的推移，年龄调整死亡率稳定。在性别、种族/民族和地理亚人群中观察到差异，男性、西班牙裔和非西班牙裔黑人以及城市和西部地区的死亡率较高。SVI越高，死亡率越高。结论：ckd相关的CA死亡率是稳定的，在人口统计学上存在差异；SVI越高，死亡率越高，强调需要采取干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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