AI Article Synopsis
- Non-communicable diseases (NCDs) are a significant global health issue, prompting the need to analyze their trends between 2010 and 2015 for better epidemiological understanding.
- Data from 18,081 hospitalized patients in Tunisia showed that cardiovascular diseases (CVD) accounted for the majority of NCD cases, with a notable increase in both morbidity and mortality rates during the study period.
- The findings suggest an urgent need for improved healthcare strategies and integrated prevention approaches for NCDs, particularly for cardiovascular health.
Article Abstract
Objectives: Non-communicable diseases (NCDs) represent a major public health problem worldwide. Giving their impact on the morbidity and mortality burden, understanding their chronological trends over time is a priority for epidemiological surveillance. We aimed to determine the epidemiological specificities of NCDs and to study their chronological trends over the period 2010-2015.
Methods: We retrospectively collected data of hospitalized patients from the regional registry of morbidity and mortality in the Southern University Hospital of Tunisia during the period 2010-2015.
Results: We included 18,081 patients with NCDs aged ≥ 25 years. The distribution of NCDs was characterized by the predominance of cardiovascular disease (CVD) (10,346 cases, 57.2%). Chronological trends analysis of NCDs showed that NCDs remained globally stable between 2010 and 2015. The same result applied to the group of cancers, chronic respiratory diseases and diabetes mellitus. However, CVD increased significantly between 2010 and 2015 (ρ = 0.84; p = 0.036). The proportion of CVD increased significantly among men (ρ = 0.87; p = 0.019) and elderly (ρ = 0.88; p = 0.019). The hospital mortality rate of NCDs increased significantly (ρ = 0.85; p = 0.031), notably for CVDs (ρ = 0.94; p = 0.005).
Conclusion: Chronological trends analysis revealed a significant rise in the morbidity and mortality burden of CVDs during the period 2010-2015. It is imperative, therefore, to strengthen health care for these patients and to introduce the concept of integrated NCDs prevention as an essential component of the health system.
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| http://dx.doi.org/10.3917/spub.193.0433 | DOI Listing |
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