Trends in Rheumatic Heart Disease-Related Mortality in the United States from 1999 to 2020.

Autor: Salman A; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan. Electronic address: alisalmanbilal@live.com., Larik MO; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Amir MA; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Majeed Y; Department of Medicine, King Edward Medical University, Lahore, Pakistan., Urooj M; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Tariq MA; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Azam F; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Shiraz MI; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Fiaz MM; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Waheed MA; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Nadeem H; Department of Medicine, Hamdard College of Medicine and Dentistry, Karachi, Pakistan., Zahra R; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Fazalullah DM; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Mattumpuram J; Division of Cardiology, Department of Medicine, University of Louisville School of Medicine, Louisville, KY.
Jazyk: angličtina
Zdroj: Current problems in cardiology [Curr Probl Cardiol] 2024 Jan; Vol. 49 (1 Pt C), pp. 102148. Date of Electronic Publication: 2023 Oct 18.
DOI: 10.1016/j.cpcardiol.2023.102148
Abstrakt: There is a lack of mortality data on rheumatic heart disease (RHD) in the United States (US). In light of this, a retrospective analysis was conducted to investigate the temporal, sex-based, racial, and regional trends in RHD-related mortality in the US, ranging from 1999 to 2020. The Center for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC-WONDER) dataset was analyzed, where crude and age-adjusted mortality rates (AAMR) were identified, along with annual percentage changes (APCs) determined by Joinpoint regression. Through the period of 1999 to 2020, there were 141,137 RHD-related deaths reported, with a marginal decline from 4.05/100,000 in 1999 to 3.12/100,000 in 2020. However, the recent rise in AAMR from 2017 to 2020 has created a source of concern (APC: 6.62 [95% CI, 3.19-8.72]). Similar trends were observed in the Black or African American race from 2017 to 2020 (APC: 10.58 [95% CI, 6.29-17.80]). Moreover, the highest percentage change from 2018 to 2020 was observed in residents of large metropolitan areas (APC: 7.6 [95% CI, 2.8-10.5]). A prominent disparity was observed among states, with values ranging from 1.74/100,000 in Louisiana to 5.27/100,000 in Vermont. States within the top 90th percentile of RHD-related deaths included Alaska, Minnesota, Washington, Wyoming, and Vermont. In conclusion, it is imperative to delve deeper into the evidently rising trends of RHD-related mortality and outline the possible sources of social determinants within US healthcare in order to provide equal and quality medical care throughout the nation.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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