中国肺栓塞的流行病学,2021年:全国性医院研究

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Kaiyuan Zhen^1,2, Yuzhi Tao^2,3, Lei Xia⁴

¹Peking University China-Japan Friendship School of Clinical Medicine, Beijing, China.

The Lancet regional health. Western Pacific

|January 6, 2025

概括

中国的肺栓塞 (PE) 发病率为每10万人中14.19,男性的发病率更高. 改善的静脉血栓塞栓症 (VTE) 预防系统与较低的PE发病率和死亡率相关.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
流行病学流行病学

背景情况:

肺栓塞 (PE) 在亚洲人群中被认为不太常见,但中国全国数据缺乏.
关于静脉血栓栓塞 (VTE) 预防系统对中国PE发病率和死亡率的影响的证据有限.

研究的目的:

估计中国PE的全国发病率和住院死亡率.
根据年龄,性别和社会经济因素分析PE率的差异.
评估VTE预防系统开发对PE结果的影响.

主要方法:

一项全国性基于医院的观察性研究,使用来自国家医院质量监测系统 (HQMS) 和公共数据库的数据.
根据年龄,性别和地理/社会经济地区分层估计PE发病率和死亡率.
量化VTE预防系统的施工密度,以分析其对PE率的影响.

主要成果:

在2021年,记录了200,112例PE病例和14123例死亡. 发前列腺发病率为14.19/100,000人口;死亡率为1.00/100,000人口.
在男性 (14.43/100,000) 比女性 (13.95/100,000) 观察到更高的PE发病率. 发现了显著的区域和年龄相关的差异.
随着VTE设施和预防系统的地理密度增加,PE发病率和死亡率下降.

结论:

中国面临着相当大的PE负担,人口统计和地区之间存在显著差异.
越来越多的社会经济发展和VTE预防系统密度与减少PE发病率和死亡率相关.
优化卫生政策和对VTE预防的投资对于减轻PE疾病负担至关重要.

关键词:

疾病负担疾病负担事件发生率事件发生率死亡率死亡率死亡率肺栓塞肺栓塞是一种肺栓塞.进行VTE预防.

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