Trends in mortality from aortic dissection analyzed from the World Health Organization Mortality Database from 2000 to 2017

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Title: Trends in mortality from aortic dissection analyzed from the World Health Organization Mortality Database from 2000 to 2017
Authors: Abdallah, N
Mouchati, C
Crowley, C
Hanna, L
Goodall, R
Salciccioli, J
Marshall, D
Gibbs, R
Shalhoub, J
Item Type: Journal Article
Abstract: Background: We assessed trends in aortic dissection (AD) death rates in 23 countries from 2000 to 2017. Methods: We extracted AD mortality data for countries with high usability data from the World Health Organization (WHO) Mortality Database and from the Center for Disease Control (CDC) WONDER Database for the United States of America (USA). Age Standardized Death Rates (ASDRs) per 100,000 population were computed. Trends were assessed by locally weighted scatter plot smoother (LOWESS) regression. Results: Between 2000 and 2017, ASDRs from AD decreased in Australia, Belgium, Croatia, Denmark, France, Italy, New Zealand, Norway, Sweden, the United Kingdom, and the USA for both sexes. Increasing AD mortality was observed in Austria, Czech Republic, Germany, Hungary, Israel, and Japan for both sexes. The largest absolute increases in ASDR were in Japan for men (+1.59) and women (+1.11). The largest percentage decreases were in Norway for men (−0.91) and in New Zealand (−0.6) for women. In 2017, the highest mortality rates were in Japan for both sexes (3.22 and 2.09, respectively). The lowest ASDR was in Kyrgyzstan for both sexes (0.16 and 0.10, respectively). ASDRs for AD in 2017 were higher for men than women in all countries included. Spain had the greatest difference between the gender's mortality rates with a 2.71-fold higher mortality average rate in men. Conclusion: We identified an overall decrease in AD mortality in most included countries, while an increase was noted in other countries including Israel and Japan.
Issue Date: 1-Aug-2022
Date of Acceptance: 18-May-2022
DOI: 10.1016/j.ijcard.2022.05.043
ISSN: 0167-5273
Publisher: Elsevier
Start Page: 83
End Page: 90
Journal / Book Title: International Journal of Cardiology
Volume: 360
Copyright Statement: © 2022 Elsevier B.V. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence
Keywords: Aortic dissection
Aneurysm, Dissecting
World Health Organization
United States
Czech Republic
United Kingdom
Cardiovascular System & Hematology
1102 Cardiorespiratory Medicine and Haematology
1117 Public Health and Health Services
Publication Status: Published
Embargo Date: 2023-05-20
Online Publication Date: 2022-05-21
Appears in Collections:Department of Surgery and Cancer

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