Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Sinatra JA[original query] |
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Stall in heart disease death rates, evidence from Maine, 1999-2017
Sinatra JA , Huston SL . Prev Chronic Dis 2020 17 E86 INTRODUCTION: Since the 1950s, heart disease deaths have declined in the United States, but recent reports indicate a plateau in this decline. Heart disease death rates increased in Maine from 2011-2015. We examined reasons for the trend change in Maine's heart disease death rates, including the contributing types of heart disease. METHODS: We obtained Maine's annual heart disease death data for 1999-2017 from CDC's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER). We used joinpoint regression to determine changes in trend and annual percentage change (APC) in death rates for heart disease overall and by demographic groups, types of heart disease, and geographic area. RESULTS: Joinpoint modeling showed that Maine's age-adjusted heart disease death rates decreased during 1999-2010 (-4.2% APC), then plateaued during 2010-2017 (-0.1% APC). Death rates flattened for both sexes and age groups ≥45 years. Although death rates for acute myocardial infarction (AMI) decreased through 2017, hypertensive heart disease (HHD) and heart failure death rates increased. Death rates attributable to diabetes-related heart disease and non-AMI ischemic heart disease (IHD) plateaued. CONCLUSION: Declines in Maine's heart disease death rates have plateaued, similar to national trends. Flattening rates appear to be driven by adverse trends in HHD, heart failure, diabetes-related heart disease, and non-AMI IHD. Increased efforts to address cardiovascular disease risk factors, chronic heart disease, and access to care are necessary to continue the decrease in heart disease deaths in Maine. |
Notes from the Field: Fatal Vibrio anguillarum infection in an immunocompromised patient - Maine, 2017
Sinatra JA , Colby K . MMWR Morb Mortal Wkly Rep 2018 67 (34) 962-963 In July 2017, a woman aged 65 years was evaluated at a hospital emergency department in Maine for an approximately 10-cm area of necrosis on her left lower leg identified as likely skin and soft tissue infection. The patient noted pain in the area that morning and was unable to walk when examined later that day. Computed tomography indicated extensive cellulitis in the area; she was hospitalized and treated with intravenous antibiotics. The Maine Health and Environmental Testing Laboratory identified Vibrio anguillarum from blood cultures collected after admission and before starting treatment; stool and wound cultures were not collected. Approximately 36 hours after she first arrived at the emergency department, the patient developed septic shock and multiorgan failure, dying 2 days after admission. |
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