Analysis on mortality and mortality trend of cerebrovascular disease in registered residents in Beijing, 2010−2019

  Objective  To analyze the death characteristics of cerebrovascular disease among residents with household registration in Beijing from 2010 to 2019, and compare with the results of the Global Burden of Disease 2019 (GBD2019) study, so as to provide reference for the prevention and control of cerebrovascular disease in Beijing.

  Methods  Using the monitoring data of cerebrovascular disease causes of cerebrovascular disease in Beijing residents from 2010 to 2019, the mortality rate and standardized mortality rate and other indicators were calculated, and the Joinpoint regression model was used to analyze the change trend of cerebrovascular disease mortality and standardized mortality rate among registered residents.

  Results  From 2010 to 2019, the mortality rate of cerebrovascular disease among residents with household registration in Beijing ranged from 107.37/100,000 to 122.46/100,000, and the standardized mortality rate decreased from 79.18/100,000 in 2010 to 59.61/100,000 in 2019 (average annual change Percentage=−2.10%, P＜0.05), the mortality and standardized mortality of cerebrovascular disease in males were higher than those in females. From 2010 to 2019, the mortality rate of cerebrovascular disease among residents with registered permanent residence in Beijing increased with age, and the mortality rate in the age group of 85 years and above was the highest, and the mortality rate of all age groups under the age of 85 years showed a downward trend (P<0.05). Ischemic stroke and cerebral hemorrhage were the main causes of death from cerebrovascular disease, accounting for 74.32% and 23.67% of cerebrovascular disease deaths in 2019, respectively. Acute cerebrovascular disease mortality and standardized mortality showed a downward trend (P<0.05). ). In 2019, the mortality rate of cerebrovascular disease among residents with registered permanent residence in Beijing was the highest in the world (178th), but the standardized mortality rate was the lowest in the world (61st). In 2019, the standardized mortality rate of cerebrovascular disease among residents with registered permanent residence in Beijing was lower than the global and Chinese levels, respectively, and higher than the levels of comparable countries (Japan, South Korea, and Singapore), but the rate of decline was second only to that of Singapore and South Korea.

  Conclusion  From 2010 to 2019, the standardized mortality rate of cerebrovascular disease, the mortality rate of each age group under the age of 85, and the mortality and standardized mortality rate of acute cerebrovascular disease of Beijing residents showed a downward trend. In the future, it is still necessary to pay attention to the prevention and control of sequelae of cerebrovascular disease in men and elderly people. In 2019, the standardized mortality rate of cerebrovascular disease in Beijing was higher than that in Japan, South Korea and Singapore. The prevention and control of cerebrovascular disease in Beijing can refer to and learn from the relevant medical and health policies of high-health countries.