Stalled progress and emerging disparities in acute myocardial infarction mortality among U.S. older adults (> 65 Years) with renal failure, 1999-2023.

ABSTRACT:

Background

Older adults with chronic kidney disease (CKD) experience disproportionately high mortality after acute myocardial infarction (AMI). Contemporary national trends-and their variation across demographic and geographic strata remain poorly defined.

Methods

Using the CDC WONDER Multiple Cause-of-Death files, we identified U.S. decedents ≥ 65 years in whom ICD-10 codes for AMI and renal failure appeared anywhere on the death certificate between 1999 and 2023. Age-adjusted mortality rates (AAMRS) per 100,000 population were standardized to the 2000 U.S. census. Joinpoint regression quantified annual per cent change (APC) and inflexion points overall and by sex, race/ethnicity, census region, state, and urban-rural status.

Results

Among 288,801 AMI-related renal-f

SUBMITTER: Azeem B 

PROVIDER: S-EPMC12317500 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature