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16年来加拿大慢性阻塞性肺病住院病人的趋势

Joseph E Amegadzie¹, Tae Yoon Lee¹, Mohsen Sadatsafavi¹

¹Collaboration for Outcomes Research and Evaluation (Amegadzie, Lee, Sadatsafavi, Lynd, Johnson), and Respiratory Evaluation Sciences Program (Amegadzie, Lee, Sadatsafavi, Johnson), Faculty of Pharmaceutical Sciences, University of British Columbia; Centre for Health Evaluation and Outcomes Sciences (Lynd), Providence Health Institute; The Centre for Heart Lung Innovation (Sin), St. Paul's Hospital; Divisions of Respirology (Sin) and Respiratory Medicine (Johnson), Department of Medicine, University of British Columbia, Vancouver, BC.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

|September 11, 2023

概括

在加拿大,慢性阻塞性肺病 (COPD) 的住院病例显著增加,在2002年至2017年期间增加了近70%. 这一趋势凸显了COPD对加拿大医疗保健系统的负担日益增加,尽管整体住院率下降.

科学领域:

公共卫生公共卫生
呼吸系统医学呼吸系统医学
医疗保健服务研究医疗服务研究

背景情况:

慢性阻塞性肺病 (COPD) 是一种对门诊护理敏感的疾病.
慢性肺炎住院率是门诊护理质量的指标.
了解COPD入院的长期趋势对于加拿大医疗保健规划至关重要.

研究的目的:

确定加拿大COPD入院患者的长期趋势.
分析特定于性别和特定于年龄的入学率.
检查慢性肺炎入院趋势的变化随着时间的推移.

主要方法:

利用加拿大住院病人的综合性国家数据库 (2002-2017年).
在40岁及以上的个人中,确定了首次诊断为COPD的住院病例.
使用脊柱回归计算的性别和年龄标准化的年度入院率.

主要成果:

2002年至2017年期间,有超过110万名COPD住院病例被记录在案.
总体COPD病例增加了68.8%,标准化病例增加了9.6%.
年龄标准化率在所有年龄段的女性和年轻男性中显著增加,但在老年男性中下降,与所有原因的入院率下降23.0%形成鲜明对比.

结论:

自2010年以来,COPD住院患者的数量一直在增加,这与人口变化无关.
慢性肺炎入院病例的增加趋势意味着加拿大医疗保健的负担越来越大.
这一趋势凸显出需要在门诊环境中加强COPD管理和预防策略.

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