Abstract 13615: Mortality Trends And Regional Variations Of Aortic Aneurysm And Dissection In The United States
| Autor: | Mohsin S Mughal, Ammar Nasir, Ali Ghani, Hasan Mirza, Abdul Aziz A Asbeutah, Hamza Hafeez, Harjot S Jagdey, Talha Ahmad, Khansa Ahmad, Mahboob Alam, Muhammad Khakwani, Mohammed Haris Usman, Najam Wasty, Sergio Waxman |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Circulation. 144 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.144.suppl_1.13615 |
| Popis: | Introduction: Aortic dissection and aortic aneurysm represent significant health risk as they are associated with very high mortality. Incidence of aortic dissection is low and estimated to be 5-30/100,000 hospitalized patients. Similarly, aortic aneurysms have low incidence (depending upon location) and high mortality (over 80%). Combined mortality associated with aortic aneurysm or dissection and its contemporary trends in the U.S. are not well known. Methods: In this retrospective study death certificate data were retrieved from the Centers for Disease Control and Prevention’s Wide-Ranging Online Data for Epidemiologic Research (WONDER) database for 1999-2018. Mortality for aortic aneurysm and dissection ICD-10 code-I71 as an underlying cause of death were queried from 1999-2018. This duration was further stratified into five-year periods. WONDER database is publicly available de-identified data collected by CDC that reports the underlying cause of death across the United States. Crude mortality rate and age-adjusted mortality rate per 100,000 were calculated in four U.S census regions (CR1 Northeast, CR2 Midwest, CR3 South, CR4 West). Results: From 1999-2018 AAMR for aortic aneurysm and dissection showed a downward trajectory. Regional variations were observed and are illustrated in figure 1. For Northeast (CR-1) AAMR declined by 54%, for Midwest (CR-2) it declined by 48%; for South (CR-3) it declined by 53%, and for West (CR-4) it declined by 52%. (Table-1) Conclusions: Our study shows a downward trajectory of AAMR for aortic aneurysm and dissection. Which reinforces the continuation of guideline based screening. |
| Databáze: | OpenAIRE |
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