摘要
目的 分析2014-2023年珠海市某区猝死流行情况及变化趋势。方法 在我国疾病预防控制信息系统“人口死亡信息登记管理系统”中搜集2014-2023年珠海市某区户籍人口猝死者1 183例。计算并分析猝死死亡率、中国人口标化死亡率(简称中标死亡率)、世界人口标化死亡率(简称世标死亡率)、平均年度变化百分比(AAPC)、年度变化百分比(APC)、死因监测漏报率及猝死时间变化趋势。结果 2014-2023年,1 183例猝死者占总死亡人数(19 796例)的5.98%,年平均粗死亡率、中标死亡率、世标死亡率分别为16.71/10万、16.14/10万、12.21/10万。不同性别猝死者世标死亡率比较,差异有统计学意义(P<0.05)。2014-2023年猝死死亡率随年龄的增加有所上升,平均每月猝死发生例数为9.86例,总体呈现冬季高发特征,且猝死主要发生在院外,占67.71%。2014-2023年,猝死伴随疾病前5位分别为缺血性心脏病(28.66%)、循环系统其他疾病(26.12%)、高血压性心脏病(10.65%)、糖尿病(9.47%)和脑血管病(7.44%)。2014-2016年全人群APC为47.92%(95%CI-30.07~212.89,P>0.05);2016-2021年全人群APC降低为-2.43%(95%CI-15.86~13.15,P>0.05);2021-2023年全人群APC为49.57%(95%CI 8.36~106.46,P<0.05)。2014-2023年全人群AAPC为17.68%(95%CI 7.48~28.85,P<0.05)。2014—2023年珠海市某区总体死因监测漏报率为2.53%,总体呈现先降低后上升趋势。不同年份死因监测漏报率比较,差异有统计学意义(χ^(2)=26.73,P<0.05)。结论 珠海市某区猝死呈增长趋势,其中男性猝死率高于女性,且猝死多发于冬季,心脑血管疾病为猝死的主要伴随疾病。
Objective To analyze the epidemiological status and changing trend of sudden death in a district of Zhuhai from 2014 to 2023.Methods A total of 1183 cases of sudden death among registered residents in a district of Zhuhai from 2014 to 2023 were collected from the“Population Death Information Registration and Management System”under China Disease Prevention and Control Information System.Indicators including sudden death mortality rate,age standardized mortality by Chinese standard population(ASMRC),age standardized mortality by world standard population(ASMRW),average annual percentage change(AAPC),annual percentage change(APC),underreporting rate of death cause monitoring,and the temporal trend of sudden death were calculated and analyzed.Results From 2014 to 2023,1183 sudden death cases accounted for 5.98%of the total deaths(19796 cases).The annual average crude mortality rate,ASMRC,and ASMRW were 16.71,16.14,and 12.21 per 100000,respectively.There was a statistically significant difference in ASMRW of sudden death between different genders(P<0.05).From 2014 to 2023,the sudden death mortality rate increased with age,with a monthly average of 9.86 sudden death cases.Overall,sudden death showed a high incidence in winter,and most cases occurred outside hospitals,accounting for 67.71%.From 2014 to 2023,the top five accompanying diseases of sudden death were ischemic heart disease(28.66%),other circulatory system diseases(26.12%),hypertensive heart disease(10.65%),diabetes mellitus(9.47%),and cerebrovascular diseases(7.44%).For the total population,the APC was 47.92%(95%CI-30.07-212.89,P>0.05)from 2014 to 2016,decreased to-2.43%(95%CI-15.86-13.15,P>0.05)from 2016 to 2021,and reached 49.57%(95%CI 8.36-106.46,P<0.05)from 2021 to 2023.The AAPC of the total population from 2014 to 2023 was 17.68%(95%CI 7.48-28.85,P<0.05).The overall underreporting rate of death cause monitoring in the district of Zhuhai from 2014 to 2023 was 2.53%,showing a trend of first decreasing and then increasing.There was a statistically significant difference in the underreporting rate of death cause monitoring among different years(χ^(2)=26.73,P<0.05).Conclusion Sudden death in the district of Zhuhai shows an increasing trend.The sudden death rate of males is higher than that of females,and sudden death occurs more frequently in winter.Cardiovascular and cerebrovascular diseases are the main accompanying diseases of sudden death.
作者
杨龙雨
宋非凡
李昕玥
莫小颖
梁蔚萍
吴丹
YANG Longyu;SONG Feifan;LI Xinyue;MO Xiaoying;LIANG Weiping;WU Dan(Xiangzhou District Center for Disease Control and Prevention,Zhuhai,Guangdong 519000,China;Zhuhai People′s Hospital(Affiliated Hospital of Beijing Institute of Technology/Zhuhai Clinical Medical College of Jinan University),Zhuhai,Guangdong 519000,China;Guangdong Pharmaceutical University,Guangzhou,Guangdong 510000,China)
出处
《现代医药卫生》
2025年第12期2859-2863,2869,共6页
Journal of Modern Medicine & Health
基金
2024年珠海市医学科研项目(2420009000053)。
关键词
猝死
趋势
死亡率
伴随疾病
Sudden death
Trend
Mortality rate
Accompanying diseases
