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医院诊断的急性肺炎发病率的时间变化:一项为期19年的基于人口的丹麦队列研究

Lise Skovgaard Svingel¹, Christian Fynbo Christiansen¹, Henrik Birn^2,3

¹Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.

|November 29, 2023

概括

2000年至2018年间,急性肺炎 (APN) 的发病率几乎翻了一番,主要是由于幼儿病例显著增加. 尽管先天性脏和尿路异常没有增加,但观察到这一趋势.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
儿科儿科儿科
流行病学流行病学

背景情况:

急性炎 (APN) 是一种严重的上部泌尿道感染.
了解APN发病率的时间趋势对于公共卫生至关重要.
之前的研究还没有完全描述最近APN人口统计和发病率的变化.

研究的目的:

调查2000年至2018年丹麦医院诊断的急性肺炎发病率的时间趋势.
描述与这些APN发病率变化相关的人口因素.
分析有关诊断的趋势,例如尿路感染和败血症.

主要方法:

一项回顾性队列研究使用了丹麦2000-2018年国家患者登记册数据进行.
诊断为APN的患者使用国际疾病分类第10版 (ICD-10) 代码进行鉴定.
按性别和年龄标准化的发病率被计算并按年龄,性别,诊断和地区分层.

主要成果:

从2000年到2018年,医院诊断的APN的总体发病率大约翻了一番.
在女性中,发病率从每1万人/年的6.8上升到15.4;在男性中,从2.7上升到4.5.
在婴儿中观察到急剧增加,女孩和男孩的发病率显著上升,而其他尿道感染和败血症的发病率下降.

结论:

急性肺炎 (APN) 的发病率显著增加,特别是在幼儿中.
这种APN发病率的增加不能归因于脏和尿路先天性异常的患病率增加.
这些发现突显了儿科APN的令人担忧的趋势,需要进一步调查潜在原因.

关键词:

群组研究是指群组研究.流行病学流行病学住院治疗住院治疗影响影响影响影响皮叶龙炎是一种炎症.尿路感染尿路感染

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