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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Analyses of Mortality and Prevalence of Cerebrovascular Disease in Colombia, South America (2014-2016): A Cross-Sectional and Ecological Study
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Analyses of Mortality and Prevalence of Cerebrovascular Disease in Colombia, South America (2014-2016): A Cross-Sectional and Ecological Study

机译：南美洲哥伦比亚脑血管病死亡率及患病率（2014 - 2016年）：横截面与生态研究

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Background: Stroke is the second cause of death and the first cause of disability worldwide. However, although numerous reports regarding stroke epidemiology in Latin America have been published, they differ widely in terms of employed methods and end points. This is the first of a series of articles that describes the epidemiology of stroke and other cerebrovascular diseases (CVD) in the nation, as well as their correlation with recognized risk factors and social variables. Methods: Descriptive analyses were performed using the Colombian vital registration system and social security information system as primary data sources. Rates and ratios were calculated, corrected for under-registration, and standardized. Secondary analyses were made using data from national surveys and government organizations on hypertension, diabetes mellitus, sedentarism, obesity, tobacco and alcohol consumption, and unsatisfied basic needs. Factorial multivariate multiple regression analyses were performed to evaluate correlations. Concentration curves and indices were calculated to evaluate for inequities in the distribution of events. Results: Global CVD had a national mortality rate and a prevalence ratio of 28 and 142 per 100,000 persons, respectively. Nontraumatic intracranial hemorrhage had the highest mortality rate (ie, 15 per 100,000), while cerebral infarction and transitory cerebral ischemia had the highest prevalence ratios (ie, 28 and 29 per 100,000, respectively). Hypertension and tobacco use were the most relevant risk factors for most of the simple and multiple models, and cerebral amyloid angiopathy and nonpyogenous intracranial venous thrombosis were the disease categories with the most socially unequal distribution of deaths and cases (ie, concentration indices of .34 and .29, respectively). Conclusions: CVDs are a cause for concern in Colombia and a marker of healthcare inequality and social vulnerability. Nationwide control of risk factors such as hypertension and tobacco use, as well as the design and conduct of public policy focused on the vulnerable and medically underserved regions and on standardizing mandatory CVD registries might ease its burden.
机译：背景：中风是全球第二大死亡原因和第一大致残原因。然而，尽管已经发表了许多关于拉丁美洲中风流行病学的报告，但它们在使用的方法和终点方面存在很大差异。这是一系列描述美国中风和其他脑血管疾病（CVD）流行病学的文章中的第一篇，以及它们与公认的风险因素和社会变量的相关性。方法：以哥伦比亚生命登记系统和社会保障信息系统为主要数据源，进行描述性分析。计算比率和比率，纠正登记不足，并标准化。二次分析使用的数据来自全国性调查和政府机构，涉及高血压、糖尿病、久坐症、肥胖、烟酒消费和未满足的基本需求。进行因子多元回归分析以评估相关性。计算浓度曲线和指数，以评估事件分布的不公平性。结果：全球CVD的全国死亡率和患病率分别为28和142/100000。非创伤性颅内出血的死亡率最高（即每10万人中有15人死亡），而脑梗死和短暂性脑缺血的患病率最高（分别为每10万人中有28人和29人死亡）。高血压和吸烟是大多数简单和多模型中最相关的风险因素，脑淀粉样血管病和非静脉性颅内静脉血栓形成是死亡和病例分布最不平等的疾病类别（即，浓度指数分别为.34和.29）。结论：CVD是哥伦比亚令人担忧的一个原因，也是医疗不平等和社会脆弱性的标志。全国范围内对高血压和烟草使用等风险因素的控制，以及针对弱势和医疗服务不足地区的公共政策的设计和实施，以及对强制性心血管疾病登记标准化，可能会减轻其负担。

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