Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China
Abstract Background The epidemiological characteristics of sudden cardiac death (SCD) in the autonomous region of Xinjiang Uygur have been largely unknown. This study aimed to evaluate the incidence and demographic risk factors of SCD in Xinjiang, China. Methods This retrospective study reviewed med...
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BMC
2019-01-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-019-6435-8 |
| _version_ | 1818496861659463680 |
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| author | Jianghua Zhang Xianhui Zhou Qiang Xing Yaodong Li Ling Zhang Qina Zhou Yanmei Lu Yinwen Fan Abu Lizi Wenhong Yan Hongyan Wang Meiling Zhai Jianfu Bao Liping Chen Maihe Tuoti Haidong Cui Jian Wang Baopeng Tang |
| author_facet | Jianghua Zhang Xianhui Zhou Qiang Xing Yaodong Li Ling Zhang Qina Zhou Yanmei Lu Yinwen Fan Abu Lizi Wenhong Yan Hongyan Wang Meiling Zhai Jianfu Bao Liping Chen Maihe Tuoti Haidong Cui Jian Wang Baopeng Tang |
| author_sort | Jianghua Zhang |
| collection | DOAJ |
| description | Abstract Background The epidemiological characteristics of sudden cardiac death (SCD) in the autonomous region of Xinjiang Uygur have been largely unknown. This study aimed to evaluate the incidence and demographic risk factors of SCD in Xinjiang, China. Methods This retrospective study reviewed medical records from 11 regions in Xinjiang with different geography (north and south of the Tian Shan mountain range), gross domestic product, and ethnicity (Han, Uyghur, Kazakh, and Hui). SCD was defined as unexpected death due to cardiac reasons within 1 hour after the onset of acute symptoms, including sudden death, unexpected death, and nonviolent death. Monitoring was conducted throughout 2015. Demographic and mortality data were recorded and age-adjusted standardized risk ratio (SRR) was analyzed. Results Among 3,224,103 residents, there were 13,308 all-cause deaths and 1244 events of SCD (784 men and 460 women; overall incidence 38.6 per 100,000 residents). SCD was associated with age (χ2 = 2105.3), but not geography. Men had an increased risk of SCD compared with women (SRR: 1.75, 95% CI: 1.10–2.79). The risk of SCD was highest in residents of the Uyghur (SRR: 1.59, 95% CI: 1.05–2.42) and Kazakh (SRR: 1.92, 95% CI: 1.29–2.87) compared with those of the Han. Poor economic development was associated with elevated risk of SCD (SRR: 1.55, 95% CI: 1.02–2.38). Conclusion SCD is an important public health issue in China. Our understanding of the demographic differences on SCD in Xinjiang, China may improve the risk stratification and management to reduce the incidence and lethality of SCD. |
| first_indexed | 2024-12-10T18:37:55Z |
| format | Article |
| id | doaj.art-05007b18d8de453ba6de5aac9e850f2f |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-10T18:37:55Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-05007b18d8de453ba6de5aac9e850f2f2022-12-22T01:37:45ZengBMCBMC Public Health1471-24582019-01-011911810.1186/s12889-019-6435-8Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest ChinaJianghua Zhang0Xianhui Zhou1Qiang Xing2Yaodong Li3Ling Zhang4Qina Zhou5Yanmei Lu6Yinwen Fan7Abu Lizi8Wenhong Yan9Hongyan Wang10Meiling Zhai11Jianfu Bao12Liping Chen13Maihe Tuoti14Haidong Cui15Jian Wang16Baopeng Tang17Department of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityXinhua HospitalHotan People’s HospitalHami Center HospitalBayingolin People’s HospitalXinyuan People’s HospitalBarkol People’s HospitalYanqi People’s HospitalLop People’s HospitalAral People’s HospitalWujiaqu People’s HospitalDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical UniversityAbstract Background The epidemiological characteristics of sudden cardiac death (SCD) in the autonomous region of Xinjiang Uygur have been largely unknown. This study aimed to evaluate the incidence and demographic risk factors of SCD in Xinjiang, China. Methods This retrospective study reviewed medical records from 11 regions in Xinjiang with different geography (north and south of the Tian Shan mountain range), gross domestic product, and ethnicity (Han, Uyghur, Kazakh, and Hui). SCD was defined as unexpected death due to cardiac reasons within 1 hour after the onset of acute symptoms, including sudden death, unexpected death, and nonviolent death. Monitoring was conducted throughout 2015. Demographic and mortality data were recorded and age-adjusted standardized risk ratio (SRR) was analyzed. Results Among 3,224,103 residents, there were 13,308 all-cause deaths and 1244 events of SCD (784 men and 460 women; overall incidence 38.6 per 100,000 residents). SCD was associated with age (χ2 = 2105.3), but not geography. Men had an increased risk of SCD compared with women (SRR: 1.75, 95% CI: 1.10–2.79). The risk of SCD was highest in residents of the Uyghur (SRR: 1.59, 95% CI: 1.05–2.42) and Kazakh (SRR: 1.92, 95% CI: 1.29–2.87) compared with those of the Han. Poor economic development was associated with elevated risk of SCD (SRR: 1.55, 95% CI: 1.02–2.38). Conclusion SCD is an important public health issue in China. Our understanding of the demographic differences on SCD in Xinjiang, China may improve the risk stratification and management to reduce the incidence and lethality of SCD.http://link.springer.com/article/10.1186/s12889-019-6435-8Sudden cardiac deathEthnic groupXinjiang |
| spellingShingle | Jianghua Zhang Xianhui Zhou Qiang Xing Yaodong Li Ling Zhang Qina Zhou Yanmei Lu Yinwen Fan Abu Lizi Wenhong Yan Hongyan Wang Meiling Zhai Jianfu Bao Liping Chen Maihe Tuoti Haidong Cui Jian Wang Baopeng Tang Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China BMC Public Health Sudden cardiac death Ethnic group Xinjiang |
| title | Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China |
| title_full | Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China |
| title_fullStr | Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China |
| title_full_unstemmed | Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China |
| title_short | Epidemiological investigation of sudden cardiac death in multiethnic Xinjiang Uyghur autonomous region in Northwest China |
| title_sort | epidemiological investigation of sudden cardiac death in multiethnic xinjiang uyghur autonomous region in northwest china |
| topic | Sudden cardiac death Ethnic group Xinjiang |
| url | http://link.springer.com/article/10.1186/s12889-019-6435-8 |
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