未经评估:在1990-2019年期间,在204个国家和地区,检查心肌病的发病率,包括酒精性心肌病(AC)和其他心肌病(OC)。
UNASSIGNED:本研究是使用由健康指标与评估研究所(IHME)协调的GBD2019研究得出的数据进行的。GBD2019研究包括与369种疾病/伤害有关的流行病学数据,286个死亡原因,204个国家和地区的87个风险因素。对于这项研究,我们采用公布的关于患病率的估计,死亡率,和与心肌病相关的残疾调整寿命年(DALYs)。贝叶斯混合效应DisMod-MR2.1元回归工具,旨在分析GBD数据,用于估计OC和AC的患病率。根据地理邻近性和流行病学相似性等特征,将GBD数据细分为21个全球区域。通过结合AC和OC相关数据评估心肌病的总体负担,基于基于95%UI的宽度除以1.96×2确定的标准化误差值计算95%置信区间。
未经评估:全球,2019年估计有71万例(95%UI:0.55-0.92)AC病例和373万例(95%UI:2.92-4.72)OC病例。年龄标准化心肌病,AC,2019年OC患病率(每10万人)为56.0(95%CI:43.82-71.17),8.51(95%UI:6.6-11.01),和47.49(95%UI:37.22-60.16),分别。总的来说,AC和OC导致的全球死亡人数分别为0.07万人(95%UI:0.06-0.08)和24万人(95%UI:0.19-0.26).2019年心肌病患者年龄标准化死亡率为3.97(95%CI:3.29-4.39),AC和OC的死亡率分别为0.86(95%UI:0.72-0.99)和3.11(95%UI:2.57-3.4)。2019年全球层面,244万(95%UI:2.04-2.78)DALYs归于AC,而572万(95%UI:4.89-6.33)DALY归因于OC。从1990年到2019年,心肌病年龄标准化患病率下降了-0.49%(95%CI:-0.57至-0.41),AC和OC分别下降了-0.32%(95%UI:-0.36至-0.28)和-0.17%(95%UI:-0.21至-0.13)。年龄标准化的AC和OC死亡率下降了-0.36%(95%UI:-0.5至-0.26)和-0.39%(95%UI:-0.44至-0.29),尽管增长了24.8%和30.2%,分别,同期与AC和OC相关的死亡人数。
UNASSIGNED:先前的研究已经估计了影响多种心血管疾病(CVD)负担的危险因素。其中,一些与GBD心肌病数据数据库相关的研究表明,性别是AC发展的因素,AC和OC的负担不仅限于发达国家或欠发达国家。否则,这项研究主要集中在心肌病上,并分析了来自国家的多个指标,区域,和年龄标准维度,以确定潜在的风险因素,包括患病率,死亡,年与影响AC和OC发展的残疾调整寿命年(DALYs)一起生活。据我们所知,这项研究是第一个在全国范围内系统评估截至2019年AC和OC负担的研究,区域,以及全球水平和计算的DALYs,以更好地评估疾病风险和人口生活质量。案件的数量,在过去的30年中,心肌病的死亡和DALYs呈现总体上升趋势和明显的地域差异.心肌病的负担仍然是对全球公共卫生的持续威胁。这些结果提供了流行病学基础,可以指导公共卫生工作和政策制定者。
UNASSIGNED: To examine the incidence of cardiomyopathy including both alcoholic cardiomyopathy (AC) and other cardiomyopathy (OC) in 204 nations and regions over the 1990-2019 period.
UNASSIGNED: The present study was conducted using data derived from the GBD 2019 study coordinated by the Institute for Health Metrics and Evaluation (IHME). The GBD 2019 study included epidemiological data pertaining to 369 diseases/injuries, 286 causes of death, and 87 risk factors in 204 nations and regions. For this study, we adopt published estimates pertaining to the prevalence rates, mortality rates, and disability-adjusted life years (DALYs) associated with cardiomyopathy. The Bayesian mixed-effects DisMod-MR 2.1 meta-regression tool, which was designed to analyze GBD data, was used to estimate the prevalence of OC and AC. The GBD data are subdivided into 21 global regions based on characteristics such as geographical proximity and epidemiological similarity. The overall burden of cardiomyopathy was assessed by combining AC- and OC-related data, 95% confidence intervals were calculated based on standardized error values determined based upon the width of the 95% UI divided by 1.96 × 2.
UNASSIGNED: Globally, there were an estimated 0.71 million (95% UI: 0.55-0.92) AC cases and 3.73 million (95% UI: 2.92-4.72) OC cases in 2019. The age-standardized cardiomyopathy, AC, and OC prevalence rates (per 100,000 persons) in 2019 were 56.0 (95% CI: 43.82-71.17), 8.51 (95% UI: 6.6-11.01), and 47.49 (95% UI: 37.22-60.16), respectively. In total, the respective numbers of global deaths attributed to AC and OC were 0.07 million (95% UI: 0.06-0.08) and 0.24 million (95% UI: 0.19-0.26). The age-standardized mortality rate for cardiomyopathy in 2019 was 3.97 (95% CI: 3.29-4.39), with respective mortality rates of 0.86 (95% UI: 0.72-0.99) and 3.11 (95% UI: 2.57-3.4) for AC and OC. At the global level in 2019, 2.44 million (95% UI: 2.04-2.78) DALYs were attributed to AC, while 5.72 million (95% UI: 4.89-6.33) DALYs were attributed to OC. From 1990 to 2019, cardiomyopathy age-standardized prevalence rates declined by -0.49% (95% CI: -0.57 to -0.41), with those for AC and OC having respectively declined by -0.32% (95% UI: -0.36 to -0.28) and -0.17% (95% UI: -0.21 to -0.13). The age-standardized AC and OC mortality rates declined by -0.36% (95% UI: -0.5 to -0.26) and -0.39% (95% UI: -0.44 to -0.29), despite 24.8 and 30.2% increases, respectively, in the numbers of AC- and OC-related deaths during the same period.
UNASSIGNED: Previous studies have estimated the risk factors that influence the burden of multiple cardiovascular diseases (CVD). Among them, some studies related to the GBD database on cardiomyopathy data suggest that alcohol intake, gender are factors in the development of AC, and the burden of AC and OC is not limited to developed or less developed countries. Otherwise, this study mainly focused on cardiomyopathy, and analyzed multiple indicators from national, regional, and age-standard dimensions to identify potential risk factors including prevalence, deaths, years lived with Disability-adjusted life years (DALYs) that influence the development of AC and OC. To our knowledge, this study is the first to have systematically assessed the burden of AC and OC as of 2019 at the national, regional, and global levels and calculated DALYs to achieve a better evaluation of disease risk and quality of life of the population. The number of cases, deaths and DALYs of cardiomyopathy showed an overall increasing trend and obvious geographical differences in the past three decades. The burden of cardiomyopathy remains a persistent threat to global public health. These results provide an epidemiological foundation that can guide public health efforts and policymakers.