The analysis on the death characteristics related to bronchiectasis in China from 2004 to 2021
Objective To analyze the the death characteristics related to bronchiectasis in China from 2004 to 2021,and provide the reference for formulating the strategies of the prevention and treatment of respiratory diseases.Methods The data were from"The national disease surveillance system from 2004 to 2012"and"The National population death information registration and management system from 2013 to 2021",the death causes included in the causes of death chain concluded all death cases including bronchiectasis.The x2 test was used to analyze the data,and JoinPoint 4.8.0.1 was used to calculate AAPC.The used software was SAS 9.4.Results The average annual bronchiectasis-related mortality from 2004 to 2021 was 0.85/105.The standardized mortality showed fluctuation(AAPC=0.84%,P>0.05).The average annual bronchiectasis-related mortality(0.96/105)in males was significantly higher than that(0.73/105)in females;the average annual bronchiectasis-related mortality(1.15/105)in urban area was significantly higher than that(0.64/105)in rural area,P<0.01.Moreover,the bronchiectasis-related standardized mortality showed uptrend with year(AAPC=2.60%,P<0.05).The average annual bronchiectasis-related mortality rates in eastern and western parts in China were significantly higher than that in middle part(P<0.01).Moreover,the average annual bronchiectasis-related mortality in western part increased quickly(AAPC=3.20%,P<0.01).In bronchiectasis-related cases,the main death causes were bronchiectasis(73.92%),chronic obstructive pulmonary disease(5.94%)and chronic bronchitis(4.67%).Conclusion There are regional and gender differences in bronchiectasis-related mortality in China.Targeted prevention strategies should be taken.It should pay attention to the western region,urban area and males.