Aortic dissection epidemiology and demographics: Difference between revisions

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{{Template:Aortic dissection}}
{{Template:Aortic dissection}}
 
{{CMG}}; '''Associate Editor-In-Chief:''' {{Sahar}} {{CZ}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
 
==Overview==
==Overview==
There are approximately 2,000 cases of [[aortic]] dissection in the US per year, and [[aortic]] dissection accounts  for 3-4% of [[sudden deaths]]. The peak [[incidence]] is in the sixth and seventh decades, and males predominate 2:1.
The [[incidence]] of aortic dissection is approximately 6 per 100,000 individuals worldwide.The [[incidence]] of aortic dissection increases with age, with a mean age of 63 years. Men are more commonly affected by aortic dissection than women. However, the [[prognosis]] tends to be worse in women due to unusual presentations. There is no [[racial]] predilection to aortic dissection. However, non-white [[race]] is associated with worse [[prognosis]]. The 30-days [[mortality rate]] of aortic dissection type A and B is approximately 47% and 13%, respectively.
==Epidemiology and Demographics==
==Epidemiology and Demographics==
===Age===
The highest [[incidence]] of [[aortic]] dissection is in individuals who are 50 to 70 years old. Half of dissections in females before age 40 occur during [[pregnancy]] (typically in the [[3rd trimester]] or early [[postpartum]] period). Patients with type I dissection present approximately 6 years younger than those with type II or type II dissection.
===Gender===
The [[incidence]] is twice as high in males as in females (male-to-female ratio is 2:1).
===Incidence===
===Incidence===
*The incidence/prevalence of [disease name] is approximately [number range] per 100,000 individuals worldwide.
*The [[incidence]] of aortic dissection is approximately 6 per 100,000 individuals worldwide.<ref name="HowardBanerjee2013">{{cite journal|last1=Howard|first1=Dominic P.J.|last2=Banerjee|first2=Amitava|last3=Fairhead|first3=Jack F.|last4=Perkins|first4=Jeremy|last5=Silver|first5=Louise E.|last6=Rothwell|first6=Peter M.|title=Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control|journal=Circulation|volume=127|issue=20|year=2013|pages=2031–2037|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.112.000483}}</ref>
*In [year], the incidence/prevalence of [disease name] was estimated to be [number range] cases per 100,000 individuals worldwide.
 
===Prevalence===
*The incidence/prevalence of [disease name] is approximately [number range] per 100,000 individuals worldwide.
*In [year], the incidence/prevalence of [disease name] was estimated to be [number range] cases per 100,000 individuals worldwide.
*The prevalence of [disease/malignancy] is estimated to be [number] cases annually.
 
===Case-fatality rate/Mortality rate===
*In [year], the incidence of [disease name] is approximately [number range] per 100,000 individuals with a case-fatality rate/mortality rate of [number range]%.
*The case-fatality rate/mortality rate of [disease name] is approximately [number range].
 
===Age===
===Age===
*Patients of all age groups may develop [disease name].
*The [[incidence]] of aortic dissection increases with age, with a mean age of 63 years.<ref name="OlssonThelin2006">{{cite journal|last1=Olsson|first1=Christian|last2=Thelin|first2=Stefan|last3=Ståhle|first3=Elisabeth|last4=Ekbom|first4=Anders|last5=Granath|first5=Fredrik|title=Thoracic Aortic Aneurysm and Dissection|journal=Circulation|volume=114|issue=24|year=2006|pages=2611–2618|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.106.630400}}</ref><ref>{{cite journal|title=Correspondence|journal=The Annals of Thoracic Surgery|volume=67|issue=2|year=1999|pages=593|issn=00034975|doi=10.1016/S0003-4975(99)00037-5}}</ref>
*The incidence of [disease name] increases with age; the median age at diagnosis is [#] years.
*[Disease name] commonly affects individuals younger than/older than [number of years] years of age.  
*[Chronic disease name] is usually first diagnosed among [age group].
*[Acute disease name] commonly affects [age group].
 
===Race===
===Race===
*There is no racial predilection to [disease name].
*There is no [[racial]] predilection to aortic dissection. However, non-white race is associated with worse [[prognosis]].<ref name="HarrisKlyushnenkova2016">{{cite journal|last1=Harris|first1=Donald|last2=Klyushnenkova|first2=Elena|last3=Kalsi|first3=Richa|last4=Garrido|first4=Danon|last5=Bhardwaj|first5=Abhishek|last6=Rabin|first6=Joseph|last7=Toursavadkohi|first7=Shahab|last8=Diaz|first8=Jose|last9=Crawford|first9=Robert|title=Non-White Race Is an Independent Risk Factor for Hospitalization for Aortic Dissection|journal=Ethnicity & Disease|volume=26|issue=3|year=2016|pages=363|issn=1945-0826|doi=10.18865/ed.26.3.363}}</ref>
*[Disease name] usually affects individuals of the [race 1] race. [Race 2] individuals are less likely to develop [disease name].
===Gender===
===Gender===
*[Disease name] affects men and women equally.
*Men are more commonly affected by aortic dissection than women. However, the [[prognosis]] tends to be worse in women due to unusual presentations.<ref name="OlssonThelin2006">{{cite journal|last1=Olsson|first1=Christian|last2=Thelin|first2=Stefan|last3=Ståhle|first3=Elisabeth|last4=Ekbom|first4=Anders|last5=Granath|first5=Fredrik|title=Thoracic Aortic Aneurysm and Dissection|journal=Circulation|volume=114|issue=24|year=2006|pages=2611–2618|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.106.630400}}</ref>
*[Gender 1] are more commonly affected by [disease name] than [gender 2]. The [gender 1] to [gender 2] ratio is approximately [number > 1] to 1.
===Mortality rate===
 
*The 30-days [[mortality rate]] of aortic dissection type A and B is approximately 47% and 13% affected individuals, respectively.<ref name="HowardBanerjee2013">{{cite journal|last1=Howard|first1=Dominic P.J.|last2=Banerjee|first2=Amitava|last3=Fairhead|first3=Jack F.|last4=Perkins|first4=Jeremy|last5=Silver|first5=Louise E.|last6=Rothwell|first6=Peter M.|title=Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control|journal=Circulation|volume=127|issue=20|year=2013|pages=2031–2037|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.112.000483}}</ref>
===Region===
*The majority of [disease name] cases are reported in [geographical region].
 
*[Disease name] is a common/rare disease that tends to affect [patient population 1] and [patient population 2].
 
===Developed Countries===
 
===Developing Countries===
 
== References ==
== References ==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 17:29, 10 December 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Sahar Memar Montazerin, M.D.[2] Cafer Zorkun, M.D., Ph.D. [3]

Overview

The incidence of aortic dissection is approximately 6 per 100,000 individuals worldwide.The incidence of aortic dissection increases with age, with a mean age of 63 years. Men are more commonly affected by aortic dissection than women. However, the prognosis tends to be worse in women due to unusual presentations. There is no racial predilection to aortic dissection. However, non-white race is associated with worse prognosis. The 30-days mortality rate of aortic dissection type A and B is approximately 47% and 13%, respectively.

Epidemiology and Demographics

Incidence

  • The incidence of aortic dissection is approximately 6 per 100,000 individuals worldwide.[1]

Age

  • The incidence of aortic dissection increases with age, with a mean age of 63 years.[2][3]

Race

  • There is no racial predilection to aortic dissection. However, non-white race is associated with worse prognosis.[4]

Gender

  • Men are more commonly affected by aortic dissection than women. However, the prognosis tends to be worse in women due to unusual presentations.[2]

Mortality rate

  • The 30-days mortality rate of aortic dissection type A and B is approximately 47% and 13% affected individuals, respectively.[1]

References

  1. ↑ 1.0 1.1 Howard, Dominic P.J.; Banerjee, Amitava; Fairhead, Jack F.; Perkins, Jeremy; Silver, Louise E.; Rothwell, Peter M. (2013). "Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control". Circulation. 127 (20): 2031–2037. doi:10.1161/CIRCULATIONAHA.112.000483. ISSN 0009-7322.
  2. ↑ 2.0 2.1 Olsson, Christian; Thelin, Stefan; Ståhle, Elisabeth; Ekbom, Anders; Granath, Fredrik (2006). "Thoracic Aortic Aneurysm and Dissection". Circulation. 114 (24): 2611–2618. doi:10.1161/CIRCULATIONAHA.106.630400. ISSN 0009-7322.
  3. ↑ "Correspondence". The Annals of Thoracic Surgery. 67 (2): 593. 1999. doi:10.1016/S0003-4975(99)00037-5. ISSN 0003-4975.
  4. ↑ Harris, Donald; Klyushnenkova, Elena; Kalsi, Richa; Garrido, Danon; Bhardwaj, Abhishek; Rabin, Joseph; Toursavadkohi, Shahab; Diaz, Jose; Crawford, Robert (2016). "Non-White Race Is an Independent Risk Factor for Hospitalization for Aortic Dissection". Ethnicity & Disease. 26 (3): 363. doi:10.18865/ed.26.3.363. ISSN 1945-0826.

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