{"title":"1999-2020 年美国心脏骤停死亡率的种族和性别差异的时间趋势。","authors":"Karthik Gonuguntla MD , Muchi Ditah Chobufo MD, MPH , Ayesha Shaik MD , Nicholas Roma MD , Mouna Penmetsa MD , Harshith Thyagaturu MD , Neel Patel MD , Amro Taha MD , Waleed Alruwaili MD, MPH , Raahat Bansal MD , Muhammad Zia Khan MD, MS , Yasar Sattar MD , Sudarshan Balla MD","doi":"10.1016/j.jjcc.2024.08.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Cardiac arrest (CA) affects over 600,000 patients in the USA annually. Despite large-scale public health and educational initiatives, survival rates are lower in certain racial and socioeconomic groups.</div></div><div><h3>Methods</h3><div>A county-level cross-sectional longitudinal study using death data of patients aged 15 years or more from the US Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (WONDER) database from 1999 to 2020. CAs were identified using the International Classification of Diseases, tenth revision, clinical modification codes.</div></div><div><h3>Results</h3><div>The CA-related deaths between 1999 and 2020 were 7,710,211 in the entire USA. The annual CA related age-adjusted mortality rates (CA-MR) declined through 2019 (132.9 to 89.7 per 100,000 residents), followed by an increase in 2020 (104.5 per 100,000). White patients constituted 82 % of all deaths and 51 % were female. The overall CA-MR during the study period was 104.48 per 100,000 persons. The CA-MR was higher for men as compared with women (123.5 vs. 89.7 per 100,000) and higher for Black as compared with White adults (154.4 vs. 99.1 per 100,000).</div></div><div><h3>Conclusions</h3><div>CA-MR in the overall population has declined, followed by an increase in 2020, which is likely the impact of the COVID-19 pandemic. There were also significant racial and sex differences in mortality rates.</div></div>","PeriodicalId":15223,"journal":{"name":"Journal of cardiology","volume":"85 2","pages":"Pages 63-68"},"PeriodicalIF":2.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Temporal Trends in Race and Sex Differences in Cardiac Arrest Mortality in the USA, 1999–2020\",\"authors\":\"Karthik Gonuguntla MD , Muchi Ditah Chobufo MD, MPH , Ayesha Shaik MD , Nicholas Roma MD , Mouna Penmetsa MD , Harshith Thyagaturu MD , Neel Patel MD , Amro Taha MD , Waleed Alruwaili MD, MPH , Raahat Bansal MD , Muhammad Zia Khan MD, MS , Yasar Sattar MD , Sudarshan Balla MD\",\"doi\":\"10.1016/j.jjcc.2024.08.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Cardiac arrest (CA) affects over 600,000 patients in the USA annually. Despite large-scale public health and educational initiatives, survival rates are lower in certain racial and socioeconomic groups.</div></div><div><h3>Methods</h3><div>A county-level cross-sectional longitudinal study using death data of patients aged 15 years or more from the US Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (WONDER) database from 1999 to 2020. CAs were identified using the International Classification of Diseases, tenth revision, clinical modification codes.</div></div><div><h3>Results</h3><div>The CA-related deaths between 1999 and 2020 were 7,710,211 in the entire USA. The annual CA related age-adjusted mortality rates (CA-MR) declined through 2019 (132.9 to 89.7 per 100,000 residents), followed by an increase in 2020 (104.5 per 100,000). White patients constituted 82 % of all deaths and 51 % were female. The overall CA-MR during the study period was 104.48 per 100,000 persons. The CA-MR was higher for men as compared with women (123.5 vs. 89.7 per 100,000) and higher for Black as compared with White adults (154.4 vs. 99.1 per 100,000).</div></div><div><h3>Conclusions</h3><div>CA-MR in the overall population has declined, followed by an increase in 2020, which is likely the impact of the COVID-19 pandemic. There were also significant racial and sex differences in mortality rates.</div></div>\",\"PeriodicalId\":15223,\"journal\":{\"name\":\"Journal of cardiology\",\"volume\":\"85 2\",\"pages\":\"Pages 63-68\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of cardiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0914508724001588\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cardiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0914508724001588","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
摘要
背景：在美国，每年有 60 多万名患者因心脏骤停（CA）而死亡。尽管采取了大规模的公共卫生和教育措施，但某些种族和社会经济群体的存活率较低：一项县级横断面纵向研究使用了美国疾病控制和预防中心的广泛流行病学研究在线数据（WONDER）数据库中 1999 年至 2020 年期间 15 岁或以上患者的死亡数据。CA使用《国际疾病分类》第十版的临床修改代码进行识别：结果：1999 年至 2020 年间，全美与 CA 相关的死亡人数为 7,710,211 人。与 CA 相关的年度年龄调整死亡率（CA-MR）在 2019 年有所下降（从每 10 万居民 132.9 例降至 89.7 例），随后在 2020 年有所上升（每 10 万居民 104.5 例）。白人患者占所有死亡人数的 82%，女性占 51%。研究期间的总体 CA-MR 为每 10 万人 104.48 例。与女性相比，男性的 CA-MR 较高（123.5 vs. 89.7 per 100,000），与白人相比，黑人的 CA-MR 较高（154.4 vs. 99.1 per 100,000）：结论：总人口中的 CA-MR 有所下降，2020 年有所上升，这可能是 COVID-19 大流行的影响。死亡率也存在明显的种族和性别差异。
Temporal Trends in Race and Sex Differences in Cardiac Arrest Mortality in the USA, 1999–2020
Background
Cardiac arrest (CA) affects over 600,000 patients in the USA annually. Despite large-scale public health and educational initiatives, survival rates are lower in certain racial and socioeconomic groups.
Methods
A county-level cross-sectional longitudinal study using death data of patients aged 15 years or more from the US Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (WONDER) database from 1999 to 2020. CAs were identified using the International Classification of Diseases, tenth revision, clinical modification codes.
Results
The CA-related deaths between 1999 and 2020 were 7,710,211 in the entire USA. The annual CA related age-adjusted mortality rates (CA-MR) declined through 2019 (132.9 to 89.7 per 100,000 residents), followed by an increase in 2020 (104.5 per 100,000). White patients constituted 82 % of all deaths and 51 % were female. The overall CA-MR during the study period was 104.48 per 100,000 persons. The CA-MR was higher for men as compared with women (123.5 vs. 89.7 per 100,000) and higher for Black as compared with White adults (154.4 vs. 99.1 per 100,000).
Conclusions
CA-MR in the overall population has declined, followed by an increase in 2020, which is likely the impact of the COVID-19 pandemic. There were also significant racial and sex differences in mortality rates.
期刊介绍：
The official journal of the Japanese College of Cardiology is an international, English language, peer-reviewed journal publishing the latest findings in cardiovascular medicine. Journal of Cardiology (JC) aims to publish the highest-quality material covering original basic and clinical research on all aspects of cardiovascular disease. Topics covered include ischemic heart disease, cardiomyopathy, valvular heart disease, vascular disease, hypertension, arrhythmia, congenital heart disease, pharmacological and non-pharmacological treatment, new diagnostic techniques, and cardiovascular imaging. JC also publishes a selection of review articles, clinical trials, short communications, and important messages and letters to the editor.
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