瑞典一个地区的成年人中严重疾病的负担 - - 一个基于人口的点患病率研究
Carl Otto Schell1,2,3, Andreas Wellhagen4,5,6, Miklós Lipcsey7,8
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden. carl.schell@ki.se.
European journal of medical research
|September 7, 2023
概括
每10万成年人中有19.4人患有重症,其中10.5%的医院患者患有重症. 大多数重症患者都在普通病房接受治疗,这表明健康负担显著但被低估.
科学领域:
- 关键护理医学 关键护理医学
- 流行病学 流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 危急病患者面临高死亡风险.
- 关于严重疾病负担的流行病学数据很少,这阻碍了卫生系统的决策.
- 这项研究量化了瑞典一个地区严重疾病的流行率.
研究的目的:
- 估计瑞典某个地区成年人口中严重疾病的患病率.
- 确定医院住院病人中患重病的比例.
- 描述医院内处于危急病患者管理的场所.
主要方法:
- 2017-2018年进行了一项前性,多中心,基于人口的点患病率研究.
- 包括索尔姆兰所有急性病医院的成年住院患者和转诊患者;具体的排除适用.
- 危急疾病是由重要器官功能障碍和可逆性潜力定义的,由严重乱的生命体征识别出来.
主要成果:
- 包括1269名患者;在133名患者中发现了严重疾病.
- 危急疾病的患病率为每10万成年人中19.4 (95%CI为16.4-23.0).
- 10.5%的住院患者 (95%CI8.8-12.3%) 病情危急,其中94%的患者在普通病房接受治疗.
结论:
- 这项研究显示,危急疾病的患病率高于此前估计的.
- 住院患者中有十分之一的病情危急,主要是在普通病房.
- 这突出了严重疾病的重大,可能被忽视的负担,其影响包括公共卫生和管理.
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