Incidence of Sudden Cardiac Death in Low- and Middle-Income Countries: A Systematic Review of Cohort Studies.

Sudden cardiac death (SCD) is a leading cause of mortality worldwide and, in recent years, has become an urgent public health concern in low- and middle-income countries (LMICs). Data from LMICs, however, remains limited. As such, the aim of this article is to systematically review the current liter...

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Publicado en:Indian Journal of Community Medicine Vol. 49; no. 2; pp. 279 - 290
Autores principales: Thakkar, Nandan, Alam, Prima, Thaker, Abhi, Ahukla, Aakansha, Shah, Jay, Saxena, Deepak, Shah, Komal
Formato: pictorial research systematic review tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Mar/Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2024
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        atl: Incidence of Sudden Cardiac Death in Low- and Middle-Income Countries: A Systematic Review of Cohort Studies.
      aug:
        au:
          Thakkar, Nandan
          Alam, Prima
          Thaker, Abhi
          Ahukla, Aakansha
          Shah, Jay
          Saxena, Deepak
          Shah, Komal
        affil: Office of Graduate Education, University of North Carolina School of Medicine, Chapel Hill, NC, United States of America
      sug:
        subj:
          Death, Sudden, Cardiac Epidemiology
          Low and Middle Income Countries
          Public Health
          Policy Making
          Evidence Gaps
          Human
          Systematic Review
          PubMed
          Embase
          Healthcare Disparities
          Developing Countries
          World Health
          Death, Sudden, Cardiac Risk Factors
          Bias (Research)
          Retrospective Design
          Prospective Studies
          Record Review
          Community Medicine
          Descriptive Statistics
      ab: Sudden cardiac death (SCD) is a leading cause of mortality worldwide and, in recent years, has become an urgent public health concern in low- and middle-income countries (LMICs). Data from LMICs, however, remains limited. As such, the aim of this article is to systematically review the current literature on the incidence of SCD in LMICs to inform policymakers and identify potential research gaps. A search of PubMed and Embase was utilized to capture the targeted condition, outcome, and setting. Only peer-reviewed cohort studies in LMICs reporting SCD incidence estimates in the general population of individuals aged ≥1 year were eligible for selection. Papers providing incidence data for specific types of SCD, including sudden coronary death or death from sudden cardiac arrest, were also included. After deduplication, 1941 citations were identified and screened. Seven studies representing four countries--Cameroon, China, India, and Iran--met the criteria for inclusion and were considered in our analysis. The crude incidence rate for SCD ranged from 19.9 to 190 cases per 100,000 person-years, while ageadjusted rates ranged from 33.6 to 230 cases per 100,000 person-years. There was notable variability in methods utilized to ascertain SCD cases. These findings suggest that the incidence of all-cause SCD in LMICs and may exceed that of high-income countries; however, observed disparities may be partly attributable to differences in case ascertainment methods. Additional research is needed to better understand the true incidence of SCD in developing countries. It is crucial that future studies across regions utilize standard diagnostic criteria and methodology for identifying SCD, which would provide a framework by which to compare outcomes between settings.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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