年龄特定的多病症模式和各种原因死亡率和公共直接医疗支出的负担:一项回顾性队列研究
Sabrina Nan Hong1, Francisco Tsz Tsun Lai2,3, Boyuan Wang1
1Department of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Journal of epidemiology and global health
|June 13, 2024
概括
多发病症显著增加死亡风险和医疗保健成本,特别是在年轻人中. 对慢性病的早期干预对于减轻所有年龄组的这些影响至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 多病性,即多种慢性疾病的共存,构成了日益严重的公共卫生挑战.
- 了解多病症的特定年龄模式对于有效的医疗保健资源分配和干预策略至关重要.
研究的目的:
- 调查年龄分层的多发病率模式及其对死亡率和医疗保健支出的影响.
- 确定特定的多病症集群及其与不良健康结果的关联.
主要方法:
- 一项回顾性观察性研究分析了2009-2017年香港超过450万人的电子健康记录.
- 参与者按年龄组和慢性疾病数量 (0-4+) 分类.
- 集群分析确定了多病症模式,并检查了它们与所有原因死亡率和公共支出的关联.
主要成果:
- 精神障碍在年轻人中普遍存在,而心血管疾病在老年人中占主导地位.
- 越来越多的发病率与更高的死亡风险和医疗保健成本相关,在年轻人群中影响更为明显.
- 脑卒中-高血压并发症集群显示死亡风险最高 (HR 2.48).
结论:
- 多种疾病对年轻人群体构成重大威胁,与死亡率和机会成本更强的关联.
- 预防策略和慢性疾病的早期管理至关重要,特别是防止早期发病的多病症.
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