在英格兰的初级保健中,贫血的患病率和检测模式:使用电子健康记录数据库的队列研究
Margaret Smith1, Cynthia Wright Drakesmith1, Sarah Haynes2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
概括
贫血影响英国4.1%的人口,老年人,少数民族和贫困地区的患病率更高. 贫血的调查和跟踪不理想,需要针对风险组进行有针对性的健康干预.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 临床医学 临床医学
背景情况:
- 全球贫血数据已有,但英国的流行程度尚不清楚.
- 这项研究解决了描述英国人口中贫血患病率的差距.
研究的目的:
- 为了确定英国贫血的患病率.
- 检查贫血个体中血红蛋白和其他血液参数的测试模式.
主要方法:
- 一个描述性的,基于人群的队列研究,利用临床实践研究Datalink Aurum数据库 (2019).
- 包括1400万个人,分析人口统计数据,多重贫困指数和世卫组织定义的血红蛋白值.
- 使用平均体积和费里丁分类贫血,对血红蛋白测试模式进行1年的随访.
主要成果:
- 总体而言,英格兰贫血患病率为4.1% (女性为5.1%,男性为3.1%).
- 在65岁以上的个人,黑人和亚洲族裔以及社会经济贫困地区观察到更高的患病率.
- 低于最佳的诊断工作报告指出:只有50%的符合条件的患者的费里水平被记录. 在一年内进行的随访血红蛋白检测也约为50%,大多数结果仍然表明贫血.
结论:
- 贫血是英国的一个重大公共卫生问题,人口差异显著.
- 目前的调查和对贫血的患者随访不足.
- 迫切需要改善针对贫血诊断和管理的卫生干预措施,特别是在脆弱人群中.
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