美国儿童院外心脏骤停导致的残疾调整生命年:一项护理监测组研究。

Ryan A Coute, Brian H Nathanson, Stephanie DeMasi, Timothy J Mader, Michael C Kurz
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引用次数: 0

摘要

背景:残疾调整生命年(DALY)是一种常用的公共卫生指标,用于估计疾病负担。在美国,儿童院外心脏骤停(OHCA)的DALY是未知的。我们的目的是估计儿童OHCA DALY,并将其与美国儿童死亡和残疾的其他主要原因进行比较。方法:我们对国家心脏骤停登记处提高生存数据库进行了回顾性观察分析。DALY计算为生命损失年数和残疾生活年数的总和。使用所有儿童年龄计算生命损失年数。结果:共有11 177例OHCA符合研究纳入标准。观察到,美国的OHCA DALY总量从2016年的407500(生命损失年数= 407435,残疾生活年数=65)适度增加到2020年的415113(生命损失年数= 415055,残疾生活年数=58)。DALY比率从2016年的553.3 / 10万人增加到2020年的568.3 / 10万人。2019年,OHCA是儿童DALY的第十大原因,排在新生儿疾病、损伤、精神疾病、早产、肌肉骨骼疾病、先天性出生缺陷、皮肤病、慢性呼吸系统疾病和哮喘之后。结论:非创伤性OHCA是美国年度儿童DALY损失的十大主要原因之一。
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Disability-Adjusted Life Years Due to Pediatric Out-of-Hospital Cardiac Arrest in the United States: A CARES Surveillance Group Study.

Background: Disability-adjusted life years (DALY) are a common public health metric used to estimate disease burden. The DALY due to pediatric out-of-hospital cardiac arrest (OHCA) in the United States is unknown. We aimed to estimate pediatric OHCA DALY and to compare it with the other leading causes of pediatric death and disability in the United States.

Methods: We conducted a retrospective observational analysis of the national Cardiac Arrest Registry to Enhance Survival database. DALY were calculated as the sum of years of life lost and years lived with disability. Years of life lost were calculated using all pediatric (age <18 years) nontraumatic OHCA from the Cardiac Arrest Registry to Enhance Survival from 2016 to 2020. Disability weights based on cerebral performance category scores, an outcome measure of neurologic function, were used to estimate years lived with disability . Data were reported as total, mean, and rate per 100 000 individuals, and were compared with the leading causes of pediatric DALY in the United States published by the Global Burden of Disease study for 2019.

Results: Totally 11 177 OHCA met the study inclusion criteria. A modest increase in total OHCA DALY in the United States was observed from 407 500 (years of life lost = 407 435 and years lived with disability =65) in 2016 to 415 113 (years of life lost = 415 055 and years lived with disability =58) in 2020. The DALY rate increased from 553.3 per 100 000 individuals in 2016 to 568.3 per 100 000 individuals in 2020. For 2019, OHCA was the 10th leading cause of pediatric DALY lost behind neonatal disorders, injuries, mental disorders, premature birth, musculoskeletal disorders, congenital birth defects, skin diseases, chronic respiratory diseases, and asthma.

Conclusions: Nontraumatic OHCA is one of the top 10 leading causes of annual pediatric DALY lost in the United States.

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来源期刊
Circulation. Cardiovascular Quality and Outcomes
Circulation. Cardiovascular Quality and Outcomes Medicine-Cardiology and Cardiovascular Medicine
CiteScore
9.80
自引率
2.90%
发文量
357
期刊介绍: Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal, publishes articles related to improving cardiovascular health and health care. Content includes original research, reviews, and case studies relevant to clinical decision-making and healthcare policy. The online-only journal is dedicated to furthering the mission of promoting safe, effective, efficient, equitable, timely, and patient-centered care. Through its articles and contributions, the journal equips you with the knowledge you need to improve clinical care and population health, and allows you to engage in scholarly activities of consequence to the health of the public. Circulation: Cardiovascular Quality and Outcomes considers the following types of articles: Original Research Articles, Data Reports, Methods Papers, Cardiovascular Perspectives, Care Innovations, Novel Statistical Methods, Policy Briefs, Data Visualizations, and Caregiver or Patient Viewpoints.
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