美国慢性辅助性中耳炎的流行病学
Ankur Gupta1,2, Anthony Thai2, Peter Luke Santa Maria2
1University of Louisville School of Medicine, Louisville, KY, USA.
The Annals of otology, rhinology, and laryngology
|June 1, 2024
概括
慢性性中耳炎 (CSOM) 影响美国0.46%的人口,主要是南方的儿童和男性. 由于可能低估了流行率和成本,需要进行进一步的研究.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 慢性性中耳炎 (CSOM) 是一种持久的中耳感染,具有重大公共卫生影响.
- 了解CSOM的流行病学特征对于资源分配和干预策略至关重要.
研究的目的:
- 确定与美国CSOM相关的流行,发病率和人口因素.
- 利用一个大规模的,全国性的医疗保健索赔数据库进行强大的流行病学分析.
主要方法:
- 来自IBM MarketScan研究数据库 (2007-2021) 的门诊行政索赔数据的回顾性分析.
- 包括标准要求使用ICD-9-CM和ICD-10-CM代码对CSOM进行诊断.
- 流行率和医疗保健利用率按年龄,性别和地理区域分层.
主要成果:
- 美国CSOM的总体患病率估计为0.46%,发病率为0.03%.
- CSOM主要影响0-10岁 (81.1%) 的个人,男性患病率更高.
- 南部地区的患病率明显高,女性和老年人群的患病率较低.
结论:
- 美国的CSOM患病率与其他发达国家相美.
- 关键的人口统计因素包括年轻年龄,男性性别和居住在美国南部.
- 诸如编码不准确性和排除无保险人群等限制可能导致低估;需要进一步研究.
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