A comprehensive analysis of cardiovascular mortality trends in Peru from 2017 to 2022: Insights from 183,386 deaths of the national death registry

Quezada Pinedo, Hugo Guillermo; Gräni, C.; Huicho Oriundo, Luis; Muka, T.; Ahanchi, N.S.; Cajachagua Torres, Kim Nail; Obeso Manrique, Jordan A.

dc.contributor.author	Quezada Pinedo, Hugo Guillermo
dc.contributor.author	Ahanchi, N.S.
dc.contributor.author	Cajachagua Torres, Kim Nail
dc.contributor.author	Obeso Manrique, Jordan A.
dc.contributor.author	Huicho Oriundo, Luis
dc.contributor.author	Gräni, C.
dc.contributor.author	Muka, T.
dc.date.accessioned	2023-12-05T17:47:56Z
dc.date.available	2023-12-05T17:47:56Z
dc.date.issued	2023
dc.identifier.uri	https://hdl.handle.net/20.500.12866/14602
dc.description.abstract	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.	en_US
dc.language.iso	eng
dc.publisher	Elsevier
dc.relation.ispartofseries	American Heart Journal Plus: Cardiology Research and Practice
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Cardiac mortality	en_US
dc.subject	Cardiovascular health	en_US
dc.subject	Low- and middle-income countries	en_US
dc.subject	Death registry	en_US
dc.subject	Peru	en_US
dc.subject.mesh	Anomalías Cardiovasculares
dc.subject.mesh	Cardiología
dc.subject.mesh	Países en Desarrollo
dc.subject.mesh	Muerte
dc.subject.mesh	Perú
dc.title	A comprehensive analysis of cardiovascular mortality trends in Peru from 2017 to 2022: Insights from 183,386 deaths of the national death registry	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1016/j.ahjo.2023.100335
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.04
dc.relation.issn	2666-6022