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Table 2 The percentage changes and EAPCs of death and DALYs caused by RHD from 1990 to 2019 globally, and in sexes, SDI areas, and geographic regions

From: Global burden of rheumatic heart disease: trends from 1990 to 2019

Characteristics

Death

DALYs

2019

1990–2019

2019

1990–2019

Number, × 103 (95% UI)

ASR (100,000), (95% UI)

Percentage (%)

EAPC (95%CI)

Number, × 103 (95% UI)

ASR (100,000), (95% UI)

Percentage (%)

EAPC (95%CI)

Overall

305.65 (259.22 to 340.49)

3.85 (3.29 to 4.29)

− 15.60

− 2.98 (− 3.03 to − 2.94)

10,673.88 (9207.38 to 12,121.61)

132.88 (115.02 to 150.34)

− 18.94

− 2.70 (− 2.75 to − 2.65)

Sex

 Male

131.72 (113.45 to 159.9)

3.62 (3.14 to 4.37)

− 13.40

− 2.86 (− 2.88 to − 2.83)

4833.46 (4121.95 to 5729.11)

123.51 (105.78 to 145.93)

− 15.91

− 2.53 (− 2.56 to − 2.49)

 Female

173.93 (140.65 to 208.09)

4.06 (3.29 to 4.85)

− 17.20

− 3.10 (− 3.17 to − 3.03)

5840.42 (4813.98 to 6963.02)

141.99 (117.47 to 168.62)

− 21.30

− 2.85 (− 2.92 to − 2.77)

SDI

 Low

47.51 (39.42 to 55.97)

8.50 (6.99 to 10.15)

23.75

− 1.87 (− 1.95 to − 1.79)

2191.85 (1819.05 to 2580.12)

275.50 (228.02 to 324.57)

25.52

− 1.87 (− 1.96 to − 1.79)

 Low-middle

113.46 (85.23 to 135.03)

8.35 (6.34 to 9.95)

7.07

− 2.45 (− 2.54 to − 2.36)

4268.61 (3371.73 to 5010.50)

266.56 (207.28 to 313.76)

− 0.26

− 2.35 (− 2.44 to − 2.26)

 Middle

82.95 (70.81 to 93.79)

3.72 (3.17 to 4.23)

− 32.65

− 4.08 (− 4.14 to − 4.02)

2773.06 (2416.94 to 3165.51)

112.05 (97.74 to 127.84)

− 37.29

− 3.81 (− 3.87 to − 3.74)

 High-middle

36.96 (33.18 to 40.19)

1.90 (1.70 to 2.07)

− 45.08

− 4.53 (− 4.67 to − 4.39)

1021.63 (914.61 to 1141.70)

56.12 (49.74 to 63.59)

− 51.67

− 4.54 (− 4.67 to − 4.41)

 High

24.62 (20.84 to 27.18)

1.13 (0.98 to 1.24)

− 9.50

− 3.00 (− 3.20 to − 2.81)

411.43 (372.56 to 448.62)

22.83 (20.92 to 24.88)

− 31.48

− 3.44 (− 3.70 to − 3.17)

Regions

 East Asia

72.40 (60.32 to 83.88)

4.01 (3.34 to 4.63)

− 46.40

− 5.00 (− 5.12 to − 4.89)

1778.09 (1498.96 to 2041.20)

94.12 (79.47 to 108.54)

− 56.56

− 5.14 (− 5.24 to − 5.04)

 South Asia

155.98 (119.89 to 187.68)

1.30 (1.11 to 1.48)

25.40

− 2.28 (− 2.43 to − 2.13)

5755.42 (4558.37 to 6820.45)

58.53 (50.19 to 67.44)

12.95

− 2.16 (− 2.29 to − 2.03)

 Southeast Asia

7.77 (6.69 to 8.85)

16.06 (10.07 to 24.64)

− 26.47

− 3.73 (− 3.82 to − 3.63)

397.46 (338.91 to 459.41)

627.42 (404.06 to 918.03)

− 20.45

− 2.74 (− 2.79 to − 2.69)

 Central Asia

3.29 (2.83 to 3.77)

4.16 (3.64 to 4.69)

− 16.82

− 2.51 (− 2.83 to − 2.19)

147.63 (125.87 to 172.89)

161.24 (138.56 to 187.45)

− 20.04

− 3.04 (− 3.40 to − 2.68)

 High-income Asia Pacific

5.11 (3.84 to 5.9)

1.30 (1.14 to 1.47)

51.09

− 3.04 (− 3.10 to − 2.98)

62.42 (51.83 to 69.51)

33.27 (29.12 to 37.55)

− 14.85

− 3.75 (− 3.82 to − 3.67)

 Oceania

1.50 (0.94 to 2.24)

1.32 (1.16 to 1.49)

84.17

− 0.64 (− 0.74 to − 0.55)

74.50 (48.60 to 107.66)

44.73 (39.39 to 50.56)

85.86

− 0.46 (− 0.57 to − 0.35)

 Australasia

0.61 (0.52 to 0.70)

0.81 (0.64 to 0.93)

6.30

− 2.56 (− 2.79 to − 2.33)

11.47 (10.17 to 12.90)

13.20 (11.53 to 14.46)

− 17.41

− 2.88 (− 3.10 to − 2.67)

 Eastern Europe

4.36 (3.83 to 4.91)

1.17 (1.01 to 1.33)

− 68.08

− 5.58 (− 6.07 to − 5.09)

139.01 (122.23 to 156.95)

26.06 (23.14 to 29.22)

− 70.49

− 5.78 (− 6.27 to − 5.29)

 Western Europe

16.19 (13.65 to 18.14)

1.47 (1.27 to 1.63)

− 7.84

− 2.52 (− 2.65 to − 2.39)

229.98 (204.56 to 251.23)

25.02 (22.79 to 27.15)

− 34.82

− 3.31 (− 3.49 to − 3.12)

 Central Europe

2.76 (2.42 to 3.11)

2.18 (1.81 to 2.57)

− 68.67

− 5.72 (− 6.14 to − 5.29)

63.34 (55.48 to 71.10)

60.62 (49.8 to 73.88)

− 75.80

− 6.23 (− 6.71 to − 5.76)

 High-income North America

6.79 (5.93 to 7.42)

1.00 (0.89 to 1.09)

− 18.80

− 3.10 (− 3.45 to − 2.76)

141.20 (126.97 to 157.25)

23.79 (21.53 to 26.44)

− 27.34

− 3.22 (− 3.62 to − 2.82)

 Andean Latin America

0.63 (0.51 to 0.78)

2.46 (1.78 to 3.44)

− 15.50

− 3.75 (− 3.85 to − 3.65)

42.24 (31.31 to 56.12)

142.02 (105.28 to 189.56)

4.92

− 2.33 (− 2.45 to − 2.21)

 Central Latin America

1.66 (1.42 to 1.92)

1.13 (0.90 to 1.39)

− 40.37

− 5.16 (− 5.38 to − 4.95)

91.82 (72.94 to 116.67)

67.40 (50.19 to 88.85)

− 31.38

− 3.94 (− 4.19 to − 3.69)

 Caribbean

1.22 (0.89 to 1.71)

0.70 (0.60 to 0.81)

− 13.98

− 2.12 (− 2.27 to − 1.96)

68.58 (50.94 to 90.78)

36.38 (29.05 to 46.02)

− 13.64

− 1.63 (− 1.80 to − 1.47)

 Tropical Latin America

2.77 (2.55 to 2.96)

1.15 (1.06 to 1.23)

− 11.62

− 3.05 (− 3.15 to − 2.94)

188.94 (147.04 to 244.65)

79.03 (61.33 to 102.28)

− 5.98

− 2.03 (− 2.07 to − 2.00)

 Southern Latin America

1.86 (1.54 to 2.20)

1.65 (1.35 to 2.00)

− 26.33

− 3.64 (− 3.76 to − 3.53)

46.52 (38.52 to 55.80)

67.07 (54.15 to 82.44)

− 32.79

− 3.29 (− 3.42 to − 3.16)

 Eastern Sub-Saharan Africa

4.69 (3.86 to 5.57)

11.18 (8.62 to 13.40)

− 6.58

− 2.63 (− 2.72 to − 2.55)

423.97 (319.46 to 558.81)

348.46 (272.37 to 412.24)

28.13

− 2.00 (− 2.07 to − 1.94)

 Southern Sub-Saharan Africa

1.37 (1.15 to 1.64)

3.96 (2.44 to 6.40)

− 4.78

− 2.03 (− 2.38 to − 1.68)

99.85 (78.75 to 123.99)

161.30 (114.77 to 227.69)

5.73

− 1.49 (− 1.71 to − 1.26)

 Western Sub-Saharan Africa

5.05 (4.04 to 6.49)

2.45 (2.01 to 2.95)

− 19.19

− 3.43 (− 3.58 to − 3.28)

376.69 (285.46 to 495.50)

122.36 (96.10 to 152.73)

20.62

− 2.51 (− 2.65 to − 2.36)

 North Africa and Middle East

7.40 (5.90 to 9.15)

2.18 (1.86 to 2.56)

− 25.14

− 3.59 (− 3.73 to − 3.44)

379.36 (305.22 to 469.08)

128.96 (103.43 to 158.74)

− 27.42

− 3.38 (− 3.51 to − 3.25)

 Central Sub-Saharan Africa

2.25 (1.40 to 3.63)

2.42 (1.97 to 3.01)

22.98

− 1.86 (− 2.07 to − 1.65)

155.37 (110.99 to 213.80)

105.13 (82.44 to 132.56)

49.49

− 1.64 (− 1.78 to − 1.50)

  1. RHD rheumatic heart disease, DALYs disability-adjusted life years, EAPC estimated annual percentage change, ASR age-standardized rate, CI confidence interval, UI uncertainty interval, SDI socio-demographic index