喘息の入院に対する年齢と性の影響

E M Skobeloff¹, W H Spivey, S S St Clair

¹Department of Emergency Medicine, Medical College of Pennsylvania, Philadelphia 19129.

JAMA

|December 23, 1992

まとめ

喘息の入院率は,年齢と性別によって異なります. 青春期前の男性はより頻繁に入院しますが,成人女性はより高い割合とより長い入院期間を経験し,喘息の重度の性別による違いを示唆しています.

科学分野:

肺内医学は肺内医学である.
エピデミオロジーエピデミオロジー
小児科は小児科です.

背景:

喘息は慢性呼吸器疾患で,流行度や重症度は,人口集団によって異なります.
喘息の悪化の危険因子としての年齢と性別を理解することは,効果的な公衆衛生戦略と臨床管理に不可欠です.

研究の目的:

大量の喘息患者集団の人口統計データを分析する.
喘息関連の入院に対する年齢と性別の影響を判断する.

主な方法:

33,269人の喘息患者 (ICD-9コード493.0) の遡及的レビュー
ペンシルベニア州南東部の67の病院から収集されたデータ (1986-1989).

主要な成果:

青春期前男性 (0~10歳) の入院率は,女性と比較してほぼ2倍でした.
11歳から20歳までの男女の入院率は同じでした.
成人女性 (20歳以上) は,男性よりも入院率 (3:1対2.5:1比) と入院期間がかなり高く,入院期間も男性より長くなりました.
滞在期間は年齢とともに増加し,30歳以上の女性では,入院時間が少し長くなりました.

結論:

喘息の入院パターンは,年齢と性に関する明確な傾向を明らかにします.
成人女性では,より高い入院率と長期の入院により示される喘息がより深刻に影響されるようです.
性別に関連するホルモンまたは生化学的差異は,喘息の病理生理学およびアウトカムにおける観察された格差に寄与する可能性があります.

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