Fatemeh Kohi; Hamid Salehinia; Abdollah Mohammadian-Hafshejani
Volume 22, Issue 4 , September and October 2015, , Pages 630-638
Abstract
Background & Objectives: Cardiovascular disease is the main cause of death and disability worldwide and is known as one of the major threats to human health. Therefore, this study was aimed to investigate the changes in mortality from cardiovascular disease in Iran. Materials and Methods: This cross-sectional ...
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Background & Objectives: Cardiovascular disease is the main cause of death and disability worldwide and is known as one of the major threats to human health. Therefore, this study was aimed to investigate the changes in mortality from cardiovascular disease in Iran. Materials and Methods: This cross-sectional study was done using analysis of data published in the mortality profile in Iran (29 Provinces) over the years 2006 to 2010. The trend of mortality due to cardiovascular disease in both sexes was drawn during the period of the study according to age groups in the 2010 and their frequency distributions. The WinPepi software was used for data analyses. Results: Evaluation of the mortality profile in Iran (29 Provinces) over the Years 2006 to 2010 is shown that, during these years, the number of deaths from all causes in the country was 1,172,278, which 46.04 percent of them (539,679 cases) were due to cardiovascular disease. Also, according to the data on the mortality from cardiovascular disease, a decreasing trend was observed in the country during 2006 to 2008, while an increasing trend was observed the years 2009 to 2010. Highest number of deaths due to cardiovascular disease was reported in 2006, 115,985 cases, while least number was reported in 2008, 104,126 cases. Conclusion: Because the risk of death from cardiovascular disease increases with ageing, medical interventions for the prevention of cardiovascular disease risk factors in childhood and adolescence and, also, in-time treatment of the patients can be used for preventing from mortality resulted from these disease.
Seyyed Mohsen Hosseini; Tovhid Jafari Kashki; Masoud Amini; Elham Faghih Imani
Volume 22, Issue 2 , May and June 2015, , Pages 368-376
Abstract
Background: Diabetes mellitus is a metabolic disorder which its subsequent complications such as retinopathy, nephropathy, ulcers, disability, and amputation increase the burden of the disease. Patient-knowledge-improving programs are employed to prevent disease progression and to improve the patients’ ...
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Background: Diabetes mellitus is a metabolic disorder which its subsequent complications such as retinopathy, nephropathy, ulcers, disability, and amputation increase the burden of the disease. Patient-knowledge-improving programs are employed to prevent disease progression and to improve the patients’ quality of life. In this way, we need to characterize the groups of patients with urgent need for more and rich in content programs. In the present study, we used Piecewise regression to evaluate the trends in diabetic nephropathy prevalence among patients registered in Sedigheh-Tahereh Research Center and also identify patients needing more attention.
Materials and Methods: This retrospective study was conducted on 1935 registered patients in the center during 1992-2010.Piecewise regression was fitted using Joinpoint program 3.5.3 to identify change points.
Results: The results showed an upward trend with 2 change points in females (p-value= 0.06). There was 1 change point with an increased trend in recent years in elderly patients, older than 70 years (p-value=0.038).The prevalence of diabetic nephropathy was in rise without any change point among patients with academic education. In addition, patients with family history of diabetes showed the decreased trend with 2 change points (p-value= 0.040). Hypertensive patients experienced a fall in the trend up to 1997 and then this reminded stable.
Conclusion: Evaluating of a disease trend and its complications can lead to developing new theory and innovation. However, this is suggested to conduct further studies to exploring other subgroups and discovering the reasons for increased trend of disease in some subgroups.