The Study Of Epidemiological Of Sudden Cardiac Death Based On Death Certificates

ObjectiveTo analyze the epidemiological characteristics of sudden cardiac death in Foshan were analyzed,and the potential risk factors and concomitant diseases of sudden cardiac death in the region were found out,so as to put forward Suggestions for public resuscitation strategies in Foshan and improve the ability of sudden cardiac death treatment.MethodsThe research object is 2016-2017 in patients with sudden cardiac death,Foshan city,data of population come from Foshan city bureau of statistics,Foshan city public security bureau and the statistics bulletin of the national economy and social development,disease prevention and control center,Foshan city,sudden cardiac death source unified collection,the residents’ death certificate of medicine,including disease hurt the cause of death classification,code,and the ultimate cause of death all use the international statistical classification of diseases and related health problems(ICD-10).1628 cases were collected according to the inclusion and exclusion criteria,and the basic information of the patients(gender,age,ethnicity,marital status,personal identity,education level,resident address code,time of death,death,place,cause of death,and accompanying disease)was recorded.Microsoft Excel 2016 conducted data collation,calculation and screening,and SPSS23.0 and EViews10.0 conducted statistical tests.The basic situation of patients with sudden cardiac death in Foshan was studied.ResultsFrom 2016 to 2017,there were 1,628 cases of SCD in Foshan,accounting for 3.18%of the total deaths,with an average annual incidence of 10.76/100,000,and an age-standardized incidence of SCD of 10.94/100,000.The average annual incidence was 12.61/100,000,and the age-standardized incidence was 133,400.The average annual incidence rate was 7.97/100,000,and the age standardized incidence rate of females was 8.13/100,000.The number of males(1072 cases)was higher than that of females(556 cases).Male SCD was younger than female SCD(p<0.05).Home(60%)was the main place of death of SCD,followed by other places(17%),medical institutions(17%),on the way to the hospital(3%)and pension institutions(3%).The SCD trend was not stable in different months(p>0.05),and the relative death peak was from January to may,but the difference was not statistically significant(p>0.05).The majority of patients with SCD were han nationality(1584 cases(97%),and other ethnic minorities(44 cases(3%).The main marital status of SCD patients was 1161(71%)married,200(12%)widowed,162(10%)unmarried,67(4%)unknown,and 38(2%)divorced.SCD patients had low educational level.Among them,there were 1414(86.86%)cases of "junior middle school or below",150(9.21%)cases of" senior high school or below",62(3.81%)cases of "university or junior college",and 2(0.12%)cases of "graduate student or above".443(27%)farmers with SCD individual status,followed by 344(21%)unknown,297(18%)retired workers,219(13%)workers,137(11%)managers of civil service enterprises and other industries,175(10%)unemployed workers,and 13(1%)students.The top five concomitant diseases of SCD were ischemic heart disease(1077 cases),hypertensive heart disease(245 cases),other heart disease(140 cases),other systemic diseases(127 cases),and inflammatory heart disease(2 percent).The incidence rate in five districts of Foshan was significantly different,with the incidence rate from high to low,respectively,being 17.5/100,000 in high intelligence,12.4/100,000 in south China sea,11.4/100,000 in Chancheng,9.4/100,000 in Shunde and 4.2/100,000 in Sanshui.SCD age score in Shunde was lower than that in Gaoming area and Nanhai area,and the difference was statistically significant(p<0.05).ConclusionThe incidence of SCD in Foshan from 2016 to 2017 was 10.77/100,000,lower than that in Guangzhou at the same time,and lower than that in China in 2009.Compared with women,the incidence of SCD in men is larger,younger and more dispersed in age.Community and public places are the main places of SCD.The allocation of first-aid resources should be based on the community and supplemented by other public places,involving the first-aid transport system and pension institutions.It is recommended to build a high-risk patients with coronary heart disease early warning education.The incidence of SCD in the five districts of Foshan is different,among which the SCD population in Shunde district is younger than that in Nanhai district and Gaoming district,which is worthy of further study.