Trendovi akutnog infarkta miokarda u populaciji Nišavskog okruga
Sažetak
Rezime
Uvod. Akutni infarkt miokarda je vodeći uzrok prevremenog obolevanja i umiranja stanovništva širom sveta.
Cilj rada bio je da utvrdi trendove incidencije i mortaliteta akutnog infarkta miokarda od 2006 do 2019 u populaciji Nišavskog okruga.
Material i Metod.
Primenjena je deskriptivna studija. Podaci o incidenciji i mortalitetu akutnog infarkta miokarda dobijeni su iz populacionog registra za akutni koronarni sindrom Srbije. Izračunavane su nestandardizovane, specifične i standardizovane stope incidencije i mortaliteta na 100,000 stanovnika. Izračunavan je i linearni trend.
Rezultati.
Ukupno je registrovano 12 142 novoobolelih od akutnog infarkta miokarda (7595 muškaracaiI 4547 žena). Muškarci su obolevali 1.7 puta više od žena. Utvrđen je pad trenda incidencije akutnog infarkta miokarda (y=0.4868x+112.24,
R² = 0.0029), ali pad nije bio statistički značajan. Ukupno je rgistrovano 3925 umrlih (2260 muškaraca i 1665 žena). Muškarci su 1.4 puta više umirali od žena. Zabeležen je statistički značajan pad trenda mortaliteta akutnog infarkta miokarda i kod muškaraca (y = -1.6112x + 52.563, R²=0.7779) i kod žena (y=-0.4956x+22.81, R² = 0.3306). Značajan porast trenda mortaliteta akutnog infarkta miokarda utvrđen je sa starenjem (y= 11.152x - 34.519,
R² = 0.7022).
Zaključak. Trend incidencije ima tendenciju opadanja ali utvrđeni pad od 2006 do 2019. Godine nije bio statistički značajan. Stope incidencije i mortaliteta bile su više kod muškaraca nego kod žena u celom posmatranom periodu. Trend mortaliteta je i kod muškaraca i kod žena statički značajno opao a utvrđen je i statistički značajan porast trenda mortaliteta sa starenjem .
Ključne reči: akutni infarkt miokarda, incidencija, mortalitet, pol, starost
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