美国与流感相关的住院病例
William W Thompson1, David K Shay, Eric Weintraub
1Epidemiology and Surveillance Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga 30333, USA. wct2@cdc.gov
JAMA
|September 16, 2004
概括
在美国,流感导致大量住院,特别是在老年人中,随着时间的推移,流感的发病率会增加. 幼儿和中年人面临着类似的住院风险,这强调了更好地预防流感的必要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 呼吸道病毒感染导致美国每年大量住院治疗.
- 流感病毒感染是造成这一负担的重要因素.
研究的目的:
- 估计美国每年的流感相关住院病例.
- 根据出院类别,类型和年龄组分析这些住院病例.
主要方法:
- 利用国家医院出院调查 (NHDS) 和世卫组织流感监测数据.
- 使用特定年龄的波桑回归模型进行估计.
- 由于原发性/任何列出的肺炎和流感以及呼吸/循环系统疾病而入院的计算.
主要成果:
- 年平均94,735例初级和133,900例任何列出的肺炎/流感住院病例与流感有关.
- 超过226,540例初级和294,128例任何列出的呼吸/循环系统住院病例与流感有关.
- 85岁以上的个人住院率最高;5岁以下的儿童的住院率与50-64岁的人相似.
结论:
- 在过去二十年中,流感住院人数,特别是老年人数显著增加,部分原因是人口老龄化.
- 幼儿和中年成年人表现出类似的流感住院率.
- 加强流感预防策略对于美国的儿科和老年人群至关重要.
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