التفاصيل البيبلوغرافية
| العنوان: |
Regionalne razlike između trendova standardiziranih stopa mortaliteta od periferne arterijske bolesti od 2011. do 2020. u Republici Hrvatskoj. (Croatian) |
| Alternate Title: |
Regional Differences in Standardized Mortality Rate Trends for Peripheral Artery Disease from 2011 to 2020 in the Republic of Croatia. (English) |
| المؤلفون: |
Biloglav, Zrinka, Medaković, Petar, Vidović, Dominic, Kovač, Diana, Barać, Dea, Škrlec, Ivana, Padjen, Ivan, Turudić, Matea, Andrić, Domagoj, Jakobović, Antun Tonko, Glavaš, Blanka, Relković, Filip, Radoš, Stipe, Ćurić, Josip, Tićinović, Nino, Ružić, Tatjana, Kovačić, Slavica |
| المصدر: |
Cardiologia Croatica; May/Jun2024, Vol. 19 Issue 5/6, p220-235, 16p |
| Abstract (English): |
Peripheral artery disease (PAD) is, along with ischemic heart disease and stroke, one of the three most significant diagnostic subgroups of cardiovascular diseases. According to prevalence estimates, the prevalence of PAD is <1% in persons aged <50 and 6% in persons aged >65. Analysis of the dynamics of PAD in the population has indicated a reduction of its incidence in EU15+ countries in the last 27 years, but with increasing mortality. The Republic of Croatia stands out among other Mediterranean countries due to its high cardiovascular burden, but there have been no systematic epidemiological studies on the dynamics of mortality from PAD. In the present study, regression analysis of age-standardized mortality rates due to PAD were used to show trends and timepoints with changes over time by region for the period from 2011 to 2020. The hospital information systems of two institutions were searched for diagnoses that are applied for coding PAD and related interventional and diagnostic procedures, supplemented by diagnoses used in previous studies. Data were obtained from the Croatian Institute of Public Health Mortality Database and were categorized five-yearinterval age groups, by sex, and by county. The National Classification of Statistical Regions from 2019 was used for regional classification, and age-standardized rates were calculated based on the Revised European Standard Population from 2013. Mortality increased in both men (3.09%) and women (2.94%), and there were significant regional differences in this trend for men in Adriatic Croatia and for both sexes in Northern Croatia. In men, the greatest increase was observed in the City of Zagreb, namely 3.71%, whereas the lowest and also the only negative value was found in Northern Croatia, namely -0.24%. In women, the greatest increase was in the City of Zagreb, i.e. 3.57%, and the lowest in Northern Croatia at 1.67%. In addition to raising awareness, this study on mortality trends facilitates improving our understanding of the epidemiological dynamics of this insufficiently diagnosed and treated, complex, and chronic disease. Improving clinical care for patients with PAD can be achieved by systemic screening of individual and clinically relevant data at medical institutions and merging this data in regional and national registries. [ABSTRACT FROM AUTHOR] |
| Abstract (Croatian): |
Periferna arterijska bolest (PAB), uz ishemijsku bolest srca i moždani udar, među trima je najznačajnijim dijagnostičkim podskupinama kardiovaskularnih bolesti. Prema procjenama, prevalencija u mlađih od 50 godina je <1 %, a u starijih od 65 godina 6 %. Analiza dinamike kretanja PAB-a upućuje na smanjenje incidencije u EU15+ državama posljednjih 27 godina, ali uz povećanje mortaliteta. Republika Hrvatska ističe se među mediteranskim zemljama po visokom kardiovaskularnom opterećenju, ali nema sustavnih epidemioloških istraživanja dinamike kretanja mortaliteta od PAB-a. U ovom su istraživanju regresijskom analizom dobno standardiziranih stopa mortaliteta od PAB-a prema regijama od 2011. do 2020. godine prikazani trendovi i vremenske točke s promjenama. Iz bolničkih informacijskih sustava dviju ustanova odabrane su dijagnoze primijenjene u kodiranju PAB-a te interventnih i dijagnostičkih postupaka i dopunjene dijagnozama iskorištenima u prethodnim istraživanjima. Iz Baze umrlih Hrvatskog zavoda za javno zdravstvo dobiveni su podatci po petogodišnjim dobnim skupinama, spolu i županijama. Za regionalnu podjelu uporabljena je Nacionalna klasifikacija statističkih regija iz 2019., a dobno standardizirane stope izračunate su na temelju Revidirane europske standardne populacije 2013. Mortalitet je u porastu u muškaraca (3,09 %) i žena (2,94 %), a prisutne su značajne regionalne razlike u trendu kod muškaraca u Jadranskoj Hrvatskoj i kod obaju spolova u Sjevernoj Hrvatskoj. Kod muškaraca najveći porast ima Grad Zagreb, 3,71 %, dok je najmanja i ujedno jedina negativna vrijednost zabilježena u Sjevernoj Hrvatskoj, –0,24 %. Kod žena najveći porast ima Grad Zagreb, 3,57 %, a najmanji Sjeverna Hrvatska 1,67 %. Ovo istraživanje trendova mortaliteta, uz podizanje svjesnosti, pomaže boljem razumijevanju epidemiološke dinamike ove nedostatno dijagnosticirane i liječene kompleksne kronične bolesti. Poboljšanja kliničke skrbi za bolesnike oboljele od PAB-a moguće je ostvariti sustavnim probirom individualnih i klinički značajnih podataka u medicinskim ustanovama i njihovim ujedinjavanjem u regionalnim i nacionalnim registrima. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
