Table 1
The death cases and age-standardized death rate of aortic aneurysm in 1990 and 2017, and its temporal trends from 1990 to 2017.
| Characteristics | 1990 | 2017 | 1990–2017 | ||
|---|---|---|---|---|---|
| Death cases No. × 103 (95% UI) | ASR per 100,000 No. (95% UI) | Death cases No. × 103 (95% UI) | ASR per 100,000 No. (95% UI) | EAPC No. (95% UI) | |
| Overall | 104.8 (101.1–110.6) | 2.88 (2.79–3.03) | 167.2 (159.8–174.1) | 2.19 (2.09–2.28) | –1.32 (–1.43 to –1.21) |
| Sex | |||||
| Male | 69.4 (65.6–75.8) | 4.43 (4.21–4.79) | 106.3 (100.0–113.8) | 3.15 (2.97–3.35) | –1.59 (–1.71 to –1.48) |
| Female | 35.4 (33.6–39.1) | 1.75 (1.67–1.92) | 60.9 (58.7–65.3) | 1.41 (1.36–1.52) | –1.06 (–1.16 to –0.96) |
| Social-demographic index | |||||
| Low | 5.7 (4.4–7.9) | 2.08 (1.61–2.79) | 10.9 (9.2–13.4) | 1.82 (1.53–2.23) | –0.71 (–0.90 to –0.52) |
| Low–middle | 8.6 (7.4–10.5) | 1.81 (1.56–2.19) | 19.0 (17.2–21.3) | 1.85 (1.66–2.07) | –0.09 (–0.19 to 0.00) |
| Middle | 12.6 (11.5–14.2) | 1.57 (1.42–1.75) | 29.8 (26.9–32.2) | 1.50 (1.36–1.62) | –0.48 (–0.59 to –0.37) |
| High–middle | 18.5 (17.7–19.6) | 2.12 (2.03–2.25) | 34.5 (33.1–36.2) | 2.01 (1.93–2.11) | –0.43 (–0.55 to –0.31) |
| High | 59.2 (58.4–60.5) | 4.47 (4.41–4.56) | 72.7 (70.8–74.4) | 2.94 (2.86–3.01) | –1.92 (–2.08 to –1.76) |
| Region | |||||
| Central Asia | 0.6 (0.6–0.7) | 1.40 (1.24–1.60) | 1.4 (1.4–1.5) | 2.19 (2.10–2.28) | 1.67 (1.52 to 1.82) |
| Central Europe | 3.6 (3.4–3.9) | 2.47 (2.31–2.66) | 5.8 (5.5–6.0) | 2.67 (2.56–2.78) | 0.43 (0.27 to 0.59) |
| Eastern Europe | 6.9 (6.5–7.3) | 2.46 (2.33–2.61) | 10.9 (10.5–11.2) | 3.15 (3.05–3.26) | 0.64 (0.40 to 0.87) |
| Australasia | 1.9 (1.8–1.9) | 7.58 (7.34–7.82) | 1.7 (1.6–1.8) | 3.18 (2.91–3.45) | –3.86 (–4.09 to –3.64) |
| High–income Asia Pacific | 6.5 (6.4–6.7) | 3.47 (3.40–3.56) | 20.6 (19.5–21.4) | 3.80 (3.61–3.97) | 0.67 (0.50 to 0.83) |
| High–income North America | 15.0 (14.5–15.5) | 4.88 (4.81–4.95) | 18.5 (18.3–18.8) | 2.35 (2.28–2.43) | –3.44 (–3.74 to –3.15) |
| Southern Latin America | 2.7 (2.5–3.0) | 5.92 (5.46–6.54) | 3.5 (3.2–3.8) | 4.15 (3.82–4.53) | –1.60 (–1.79 to –1.41) |
| Western Europe | 29.8 (29.2–30.6) | 4.80 (4.71–4.92) | 30.9 (29.9–32.0) | 2.99 (2.89–3.09) | –2.25 (–2.51 to –1.99) |
| Andean Latin America | 0.3 (0.3–0.4) | 1.70 (1.42–2.04) | 0.8 (0.7–0.9) | 1.48 (1.34–1.63) | –0.58 (–0.68 to –0.48) |
| Caribbean | 1.0 (0.9–1.1) | 3.80 (3.46–4.21) | 1.5 (1.4–1.6) | 2.97 (2.74–3.25) | –1.18 (–1.29 to –1.07) |
| Central Latin America | 1.6 (1.6–1.7) | 2.04 (1.99–2.12) | 3.5 (3.3–3.7) | 1.55 (1.47–1.64) | –1.53 (–1.72 to –1.35) |
| Tropical Latin America | 3.5 (3.5–3.6) | 4.06 (3.97–4.15) | 10.1 (9.6–10.5) | 4.46 (4.26–4.63) | 0.12 (–0.02 to 0.26) |
| North Africa and Middle East | 2.4 (2.0–3.5) | 1.57 (1.30–2.27) | 5.7 (5.2–7.1) | 1.51 (1.38–1.91) | –0.15 (–0.28 to –0.02) |
| South Asia | 8.0 (6.2–10.9) | 1.67 (1.34–2.26) | 21.7 (18.0–25.8) | 1.91 (1.58–2.26) | 0.39 (0.24 to 0.53) |
| East Asia | 8.0 (6.5–9.7) | 0.99 (0.80–1.18) | 17.4 (15.8–19.2) | 0.92 (0.83–1.01) | –0.53 (–0.67 to –0.39) |
| Oceania | 0.1 (0.1–0.2) | 4.93 (4.01–6.30) | 0.2 (0.2–0.3) | 4.26 (3.50–5.34) | –0.79 (–0.90 to –0.68) |
| Southeast Asia | 3.7 (3.3–4.3) | 1.79 (1.59–2.08) | 9.0 (8.1–10.2) | 1.83 (1.64–2.06) | –0.19 (–0.31 to –0.07) |
| Central Sub–Saharan Africa | 3.7 (3.3–4.3) | 4.17 (2.86–5.79) | 9.0 (8.1–10.2) | 2.85 (2.21–3.58) | –1.79 (–2.02 to –1.57) |
| Eastern Sub–Saharan Africa | 2.2 (1.5–3.0) | 3.37 (2.24–4.55) | 2.8 (2.0–3.5) | 2.09 (1.52–2.67) | –2.30 (–2.54 to –2.06) |
| Southern Sub–Saharan Africa | 0.8 (0.6–0.9) | 3.08 (2.40–3.58) | 1.2 (1.1–1.4) | 2.44 (2.27–2.84) | –1.24 (–1.87 to –0.61) |
| Western Sub–Saharan Africa | 1.9 (1.5–2.3) | 2.43 (1.91–2.96) | 2.5 (2.1–3.1) | 1.64 (1.35–2.02) | –1.88 (–2.11 to –1.66) |
[i] ASR: Age-standardized rate; EAPC: Estimated annual percentage change.
Table 2
The DALYs and age-standardized DALYs rate of aneurysm in 1990 and 2017, and its temporal trends from 1990 to 2017.
| Characteristics | 1990 | 2017 | 1990–2017 | ||
|---|---|---|---|---|---|
| DALYs No. × 103 (95% UI) | ASR per 100,000 No. (95% UI) | DALYs No. × 103 (95% UI) | ASR per 100,000 No. (95% UI) | EAPC No. (95% UI) | |
| Overall | 2089.42 (1996.56–2240.68) | 51.09 (49.01–54.52) | 3039.86 (2877.17–3186.41) | 38.18 (36.21–40) | –1.40 (–1.51 to –1.29) |
| Sex | |||||
| Male | 1457.54 (1370.65–1621.92) | 78.08 (73.62–86.10) | 2091.23 (1946.02–2249.36) | 56.00 (52.27–60.17) | –1.56 (–1.67 to –1.44) |
| Female | 631.88 (582.34–731.90) | 28.83 (26.73–33.15) | 948.62 (907.06–1049.58) | 22.34 (21.36–24.74) | –1.26 (–1.37 to –1.14) |
| Social-demographic index | |||||
| Low | 142.67 (103.11–200.88) | 41.06 (31–56.71) | 250.79 (209.43–313.40) | 34.52 (29–42.72) | –0.89 (–1.09 to –0.70) |
| Low-middle | 203.55 (169.67–251.85) | 34.57 (29.41–42.6) | 421.06 (378.61–475.98) | 34.89 (31.54–39.3) | –0.16 (–0.26 to –0.06) |
| Middle | 299.33 (274.10–345.30) | 29.69 (27.07–33.75) | 608.42 (548.59–660.43) | 27.72 (25.02–30.06) | –0.59 (–0.72 to –0.46) |
| High-middle | 430.05 (412.08–459.38) | 44.17 (42.35–47.05) | 709.83 (677.80–742.50) | 39.64 (37.83–41.49) | –0.67 (–0.81 to –0.53) |
| High | 1008.90 (993.83–1030.02) | 77.74 (76.57–79.32) | 1041.69 (1012.52–1068.82) | 49.11 (47.71–50.43) | –2.07 (–2.22 to –1.91) |
| Region | |||||
| Central Asia | 15.09 (13.88–16.85) | 30.11 (27.5–33.86) | 31.78 (30.37–33.39) | 42.18 (40.42–44.09) | 1.19 (1.00 to 1.39) |
| Central Europe | 82.98 (77.44–89.70) | 55.31 (51.6–59.78) | 111.01 (105.78–115.58) | 56.05 (53.43–58.4) | 0.15 (–0.04 to 0.33) |
| Eastern Europe | 161.14 (151.09–172.25) | 56.67 (53.1–60.51) | 234.70 (226.45–242.93) | 71.73 (69.13–74.43) | 0.58 (0.31 to 0.85) |
| Australasia | 30.90 (29.85–31.97) | 125.05 (121.01–129.05) | 23.20 (21.21–25.33) | 48.06 (43.89–52.78) | –4.18 (–4.41 to –3.96) |
| High-income Asia Pacific | 111.04 (108.60–114.17) | 54.89 (53.68–56.46) | 251.43 (237.58–263.76) | 57.55 (54.23–60.79) | 0.49 (0.33 to 0.66) |
| High-income North America | 320.64 (315.67–325.75) | 88.25 (86.85–89.7) | 249.77 (240.96–258.48) | 43.99 (42.33–45.64) | –3.29 (–3.57 to –3.02) |
| Southern Latin America | 51.75 (47.66–57.30) | 109.14 (100.63–120.8) | 59.53 (54.46–65.19) | 73.37 (67.06–80.34) | –1.77 (–1.95 to –1.59) |
| Western Europe | 488.44 (479.16–500.08) | 82.44 (80.88–84.15) | 427.70 (411.78–443.29) | 48.96 (46.95–50.87) | –2.43 (–2.67 to –2.18) |
| Andean Latin America | 7.72 (6.38–9.26) | 33.7 (27.84–40.58) | 15.24 (13.64–16.93) | 27.77 (24.82–30.81) | –0.74 (–0.85 to –0.63) |
| Caribbean | 17.89 (16.17–19.89) | 66.57 (60.19–74.11) | 26.93 (24.68–29.51) | 53.19 (48.75–58.26) | –1.09 (–1.19 to –0.98) |
| Central Latin America | 35.90 (34.89–37.29) | 39.09 (37.97–40.66) | 66.74 (62.76–70.82) | 28.56 (26.87–30.29) | –1.69 (–1.87 to –1.51) |
| Tropical Latin America | 89.79 (87.68–92.08) | 87.73 (85.73–89.92) | 213.43 (203.49–222.23) | 90.65 (86.45–94.36) | –0.17 (–0.33 to 0.00) |
| North Africa and Middle East | 58.81 (46.17–85.06) | 31.54 (25.39–45.71) | 127.84 (116.62–159.71) | 29.17 (26.58–36.71) | –0.30 (–0.41 to –0.19) |
| South Asia | 189.69 (141.74–261.26) | 31.26 (24.11–42.87) | 466.14 (388.16–555.97) | 34.47 (28.6–41.02) | 0.24 (0.08 to 0.40) |
| East Asia | 203.69 (169.41–258.66) | 20.59 (16.96–25.63) | 364.35 (328.39–401.38) | 18.06 (16.27–19.84) | –0.81 (–1.01 to –0.60) |
| Oceania | 3.59 (2.47–4.96) | 106.02 (78.35–143.28) | 6.99 (4.95–9.52) | 91.85 (70.54–120.74) | –0.72 (–0.80 to –0.63) |
| Southeast Asia | 83.79 (75.30–101.13) | 31.62 (28.37–37.55) | 178.72 (160.53–204.22) | 31.23 (28.14–35.59) | –0.32 (–0.45 to –0.19) |
| Central Sub-Saharan Africa | 19.47 (13.54–28.43) | 81.53 (56.95–116.06) | 29.93 (23.17–39.06) | 56.49 (43.77–72.25) | –1.75 (–1.97 to –1.53) |
| Eastern Sub-Saharan Africa | 55.05 (37.53–80.93) | 66.76 (45.22–94.39) | 69.82 (51.17–87.19) | 41.08 (29.88–50.83) | –2.35 (–2.60 to –2.10) |
| Southern Sub-Saharan Africa | 18.37 (15.00–20.33) | 59.57 (47.49–67.47) | 26.75 (24.63–30.41) | 46.42 (42.85–53.12) | –1.30 (–2.04 to –0.56) |
| Western Sub-Saharan Africa | 43.68 (34.13–53.97) | 46.48 (36.31–56.84) | 57.88 (47.83–70.51) | 30.7 (25.37–37.66) | –1.97 (–2.20 to –1.75) |
[i] ASR: Age-standardized rate; DALY: Disability-adjusted life year; EAPC: Estimated annual percentage change.
Figure 1
The global deaths burden of AA in 195 countries and territories. A. The absolute number of AA death cases in 2017. B. The ASDR (per 100,000 persons) of AA in 2017. C. The EAPC of AA ASDRs between 1990 and 2017. AA, aortic aneurysm; ASDR, age standardized death rate; EAPC, estimated annual percentage change.
Figure 2
The change trends of ASDR/age-standardized DALY rate (per 100,000 persons) globally and among different SDI quintiles between 1990 and 2017. A. ASDR. B. Age standardized DALY rate. ASDR, age-standardized death rate; DALY, disability-adjusted life year.
Figure 3
The proportion of the three age groups (15–49 years, 50–69 years and 70+ years) for aortic aneurysm deaths globally and in five SDI quintiles between 1990 and 2017. SDI: social-demographic index.
Figure 4
The correlation between the EAPC of deaths/DALYs and (A, B) the corresponding ASRs in 1990 and (C, D) HDI in 2017. The size of circle is increased with the number of death cases of aortic aneurysm. ASR, age-standardized death rate; DALYs, disability-adjusted life years; EAPC, estimated annual percentage change; HDI, human development index.
Figure 5
The proportion of deaths attributable to high systolic blood pressure and smoking globally and in five SDI quintiles between 1990 and 2017. SDI: social-demographic index.
Figure 6
The proportion of deaths attributable to high systolic blood pressure/smoking (A) globally and in 21 GBD regions and (B) in different age groups in 1990 and 2017.