Mortality trends and disparities in older U.S. adults with atrial fibrillation and COPD: a 1999–2020 CDC WONDER analysis with forecast to 2030 - Report - MDSpire
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Mortality trends and disparities in older U.S. adults with atrial fibrillation and COPD: a 1999–2020 CDC WONDER analysis with forecast to 2030
Trends and Disparities in Mortality Among Older Adults with AF and COPD
Overview
This study analyzes mortality trends among U.S. adults aged 65 and older with atrial fibrillation (AF) and chronic obstructive pulmonary disease (COPD) from 1999 to 2020. Findings indicate an increase in age-adjusted mortality rates, with disparities based on sex, race, and geography.
Background
Atrial fibrillation and chronic obstructive pulmonary disease are prevalent among older adults and contribute to increased mortality risk. This study provides insights into the intersection of these two conditions over two decades.
Data Highlights
Year
AAMR (per 100,000)
1999
27.39
2020
65.29
Key Findings
The age-adjusted mortality rate (AAMR) increased from 27.39 in 1999 to 65.29 in 2020.
The average annual percent change (AAPC) in AAMR was 4.21 (95% CI: 3.75–4.68).
Men had a higher AAMR (57.01) compared to women (34.96).
Non-Hispanic White individuals had an AAMR 2.8 times higher than Hispanics.
Non-metropolitan areas exhibited a higher AAMR than metropolitan areas.
Projections indicate the AAMR will reach 92.62 by 2030, particularly among individuals aged ≥85.
Clinical Implications
The increasing mortality rates among older adults with AF and COPD highlight the need for enhanced clinical management strategies. Addressing disparities based on sex, race, and geography may improve outcomes for high-risk populations.
Conclusion
The study reports an increase in mortality associated with coexisting AF and COPD in older adults, with disparities across sex, race, and geography.
