Quezada-Pinedo, Hugo G; Sadat Ahanchi, Noushin; Cajachagua-Torres, Kim N; Obeso-Manrique, Jordan A; Huicho, Luis; Gräni, Christoph; Muka, Taulant (2023). A comprehensive analysis of cardiovascular mortality trends in Peru from 2017 to 2022: Insights from 183,386 deaths of the national death registry. American heart journal plus: cardiology research and practice, 35, p. 100335. Elsevier 10.1016/j.ahjo.2023.100335
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BACKGROUND/OBJECTIVES
Cardiovascular diseases are the leading cause of global mortality. Systematic studies on cardiovascular-related mortality at national and subnational levels in Peru are lacking. We aimed to describe the trends in cardiovascular-related mortality between 2017 and 2022 in Peru at national and subnational levels and by socioeconomic indicators.
SUBJECTS/METHODS
We used data from the Peruvian death registry 2017-2022. Using ICD-10 codes, mortality was categorized into: hypertensive-, coronary-, and cerebrovascular- related deaths. We estimated age-standardized cardiovascular-related mortality rates by sex at national and regional levels, and by natural regions (Coast, Highlands, Amazon). We estimated the change in mortality rates between 2017-2019 and 2020-2022 and explored factors that contributed to such a change. We explored ecological relationships between mortality rates and socioeconomic indicators.
FINDINGS
Overall 183,386 cardiovascular-related deaths were identified. Coronary-related deaths (37.2 %) were followed by hypertensive-related (25.1 %) and cerebrovascular-related deaths (22.6 %). Peru showed a marked increasing trend in cardiovascular-related mortality in 2020-2022 (77.8 %). The increase clustered in the Coast and Highlands, with the highest change observed in Lima (132.1 %). Mortality was highest in subjects with lower education and subjects with public health insurance. Gini coefficient was associated with lower mortality rates while unemployment was associated with higher mortality rates.
INTERPRETATION
There was a notable rise in cardiovascular-related mortality in Peru, particularly during the Covid-19 pandemic with a slight decrease in 2022. Gaining a comprehensive understanding of the factors that contribute to the increase in cardiovascular deaths in Peru will facilitate the development of precise interventions at both the national and regional levels.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) |
Graduate School: |
Graduate School for Health Sciences (GHS) |
UniBE Contributor: |
Sadat Ahanchi, Noushin |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
2666-6022 |
Publisher: |
Elsevier |
Funders: |
[73] Swiss Government Excellence Scholarship |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
22 Mar 2024 14:53 |
Last Modified: |
02 Apr 2024 17:34 |
Publisher DOI: |
10.1016/j.ahjo.2023.100335 |
PubMed ID: |
38511183 |
Uncontrolled Keywords: |
Cardiac mortality Cardiovascular health Death registry Low- and middle-income countries Peru |
BORIS DOI: |
10.48350/194599 |
URI: |
https://boris.unibe.ch/id/eprint/194599 |
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