年龄和性别对喘入院的影响
E M Skobeloff1, W H Spivey, S S St Clair
1Department of Emergency Medicine, Medical College of Pennsylvania, Philadelphia 19129.
JAMA
|December 23, 1992
概括
喘入院率因年龄和性别而异. 青春期前的男性更频繁地入院,但成年女性的入院率更高,住院时间更长,这表明喘严重程度的性别差异.
科学领域:
- 肺部医学 肺部医学
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 喘是一种慢性呼吸道疾病,在不同的人口群体中患病率和严重程度各不相同.
- 了解年龄和性别是喘恶化的危险因素,对于有效的公共卫生策略和临床管理至关重要.
研究的目的:
- 分析大量喘患者人口统计数据.
- 确定年龄和性别对喘相关住院病人的影响.
主要方法:
- 对33269例喘患者的回顾性审查 (ICD-9代码493.0).
- 从宾夕法尼亚州东南部的67家医院收集的数据 (1986-1989).
主要成果:
- 青春期前的男性 (0-10岁) 的入院率几乎是女性的两倍.
- 11-20岁的男性和女性的入院人数是平等的.
- 成年女性 (20岁以上) 的入院率 (3:1到2.5:1的比率) 和住院时间比男性高得多.
- 住院时间随着年龄的增长而增加,30岁以上的女性入院时间略长.
结论:
- 喘入院模式揭示了与年龄和性别有关的明显趋势.
- 成年女性似乎更严重地受到喘的影响,这体现在更高的入院率和长时间住院的情况.
- 与性别相关的荷尔蒙或生化差异可能导致喘病理生理学和结果的观察差异.
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