Universidad Peruana Cayetano Heredia

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

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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.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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.relation.issn 2666-6022


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