我国20012017年AMI患者住院病死率的系统评价(1)
摘要目的：系统评述20012017年我国急性心肌梗死患者住院病死率情况。方法：通过检索万方数据库、中国知网、维普数据库和PubMed数据库，按照纳入、排除标准筛选，对最终入选的32篇纳入1 000例及以上受试者的文章进行系统综述。应用MetaAnalyst软件计算总体住院病死率及95%可信区间，并绘制森林图，分析性别、年龄、时间、地区等分布情况。结果：基于对现有文献报道的数据结果合并得出我国成年人急性心肌梗死患者住院粗病死率为85%，男性和女性粗病死率分别为80%和121%。按年龄分布，大于80岁人群病死率达到30%，与60～79岁人群131%比较，20～39岁及40～59岁人群病死率均为43%。按地区分布，西南地区病死率(191%)和西北地区病死率(153%)明显高于其他地区(华北88%、东北70%、华东77%、中南68%、华南96%)。按时间分布，20062011年粗病死率(103%)明显高于20002005年(78%)和20122017年(68%)。結论：我国急性心肌梗死患者住院病死率依然较高，急性心肌梗死防治策略值得进一步研究，并且需要制定急性病流行病学调查的方法指南。
, http://www.100md.com
关键词急性心肌梗死；住院病死率；系统综述
Systematic Review on Hospital Mortality of Acute Myocardial Infarction Patients from 2001 to 2017 in China
Li Zhibao1，Liu Hongxu1，Xing Wenlong1，Lai Xiaolei1，Liu Zihao2
(1 Department of Cardiovascular Medicine，Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing 100010，China； 2 Beijing University of Chinese Medicine，Beijing 100029，China)
, 百拇医药
AbstractObjective：To systematically review the hospital mortality rate of patients with acute myocardial infarction (AMI) in China from 2001 to 2017.Methods：By searching Wanfang database，CNKI，VIP database and PubMed，and screening according to inclusion and exclusion criteria，a systematic review was conducted on the 32 articles that were finally included with 1 000 subjects or more.The MetaAnalyst software was applied to calculate the overall hospital mortality rate and 95% confidence interval，and the forest map was drawn to analyze the distribution of gender，age，time and region.Results：Based on the data reported in the literature，the crude fatality rate of hospitalized patients with AMI was 85%，and that of male and female patients was 80% and 121%，respectively.According to the age distribution，the case fatality rate of people over 80 years old reached 30%.Compared with 131% of people aged 6079 years old，the case fatality rate of people aged 20～39 years old and 40～59 years old was 43%.According to the regional distribution，the case fatality rate (191%) in southwest China and 153% in northwest China was significantly higher than that in other regions (88% in north China，70% in northeast China，77% in eastern China，68% in central south and 96% in south China).According to the time distribution，the crude case fatality rate (103%) in 20062011 was significantly higher than that in 20002005 (78%) and 20122017 (68%).Conclusion：The mortality rate of hospitalized patients with AMI is still high in China，and the strategy of prevention and treatment of acute myocardial infarction is worthy of further study., http://www.100md.com(李峙宝 刘红旭 邢文龙)
, http://www.100md.com
关键词急性心肌梗死；住院病死率；系统综述
Systematic Review on Hospital Mortality of Acute Myocardial Infarction Patients from 2001 to 2017 in China
Li Zhibao1，Liu Hongxu1，Xing Wenlong1，Lai Xiaolei1，Liu Zihao2
(1 Department of Cardiovascular Medicine，Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing 100010，China； 2 Beijing University of Chinese Medicine，Beijing 100029，China)
, 百拇医药
AbstractObjective：To systematically review the hospital mortality rate of patients with acute myocardial infarction (AMI) in China from 2001 to 2017.Methods：By searching Wanfang database，CNKI，VIP database and PubMed，and screening according to inclusion and exclusion criteria，a systematic review was conducted on the 32 articles that were finally included with 1 000 subjects or more.The MetaAnalyst software was applied to calculate the overall hospital mortality rate and 95% confidence interval，and the forest map was drawn to analyze the distribution of gender，age，time and region.Results：Based on the data reported in the literature，the crude fatality rate of hospitalized patients with AMI was 85%，and that of male and female patients was 80% and 121%，respectively.According to the age distribution，the case fatality rate of people over 80 years old reached 30%.Compared with 131% of people aged 6079 years old，the case fatality rate of people aged 20～39 years old and 40～59 years old was 43%.According to the regional distribution，the case fatality rate (191%) in southwest China and 153% in northwest China was significantly higher than that in other regions (88% in north China，70% in northeast China，77% in eastern China，68% in central south and 96% in south China).According to the time distribution，the crude case fatality rate (103%) in 20062011 was significantly higher than that in 20002005 (78%) and 20122017 (68%).Conclusion：The mortality rate of hospitalized patients with AMI is still high in China，and the strategy of prevention and treatment of acute myocardial infarction is worthy of further study., http://www.100md.com(李峙宝 刘红旭 邢文龙)