Chest
Special ReportsPULMONARY VASCULATUREMortality From Primary Pulmonary Hypertension in the United States, 1979–1996
Section snippets
Materials and Methods
In the United States, death certificates for all residents are coded, processed, and tabulated by the National Center for Health Statistics of the Centers for Disease Control and Prevention (CDC). These data are available through the CDC Wonder System on the World Wide Web (http://wonder.cdc.gov/). These data were reviewed for deaths in which primary pulmonary hypertension (International Classification of Diseases, Ninth Revision [ICD-9] rubric 416.0) was coded as the underlying cause. The
Results
The average annual age-adjusted primary pulmonary hypertension (ICD-9 rubric 416.0) death rates for white men, white women, black men, and black women are shown in Table 1. These rates are based on > 20,000 deaths. In general, the rates for blacks are the highest for both men and women. Among men, the age-adjusted rate for blacks is more than twice that of whites, and for women, three times.
The temporal trends in age-adjusted primary pulmonary hypertension in the United States from 1979 through
Discussion
We found that aged-adjusted mortality from primary pulmonary hypertension in the United States from 1979 through 1996 was more frequent among blacks than whites and more common among women than men. The greatest mortality rates are experienced among infants, although children in general experience the lowest death rates. After childhood, death rates increase with age. Our examination of mortality in five states disclosed that their mortality experiences followed closely that of the United
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Cited by (55)
National trends and inpatient outcomes of pulmonary arterial hypertension related hospitalizations – Analysis of the National Inpatient Sample Database
2020, International Journal of CardiologyCitation Excerpt :Additionally, we noted an association between psychosis/neurological disorders and increased risk of IM in PAH however the mechanism of this association is unclear. Few epidemiological studies have reported increased mortality in African-Americans in PAH and lower mortality in Asians and Hispanics [36,46]. On the contrary, data from REVEAL suggested higher mortality in Caucasians [47].
Impact of race on survival in pulmonary arterial hypertension: Results from the REVEAL registry
2020, Journal of Heart and Lung TransplantationEthnicity in Pulmonary Arterial Hypertension: Possibilities for Novel Phenotypes in the Age of Personalized Medicine
2018, ChestCitation Excerpt :Epidemiologic data from the United States, although limited because it is based on diagnostic coding, shows some consistent trends regarding outcomes by race/ethnicity. Data on primary pulmonary hypertension from 1979 to 1996 showed increased mortality in black patients, in particular black women.17 Data from 1980 to 2002 evaluating primary and secondary pulmonary hypertension together showed increased age-specific death rates in black patients aged < 75 years.18
Dr. Rubin holds an Academic Award in Vascular Diseases from the National Heart, Lung, and Blood Institute.