英国因静脉血栓栓塞事件住院的时间趋势:人口层面分析
Mark Hughes1, Mark D Russell1, Ritika Roy1
1Centre for Rheumatic Diseases, King's College London, London, UK.
BMJ open
|March 29, 2025
概括
在英格兰,因静脉血栓栓塞事件 (VTE) 住院的病例从1998年至2022年大幅增加,主要是由于肺栓塞 (PE) 病例增加. 深静脉血栓症 (DVT) 的住院病例减少,这表明初级保健管理有所改善.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 血管医学 血管医学
背景情况:
- 静脉血栓塞栓症 (VTE),包括肺栓塞 (PE) 和深静脉血栓症 (DVT),是严重的公共卫生问题.
- 了解VTE住院时间趋势对于资源配置和医疗保健政策制定至关重要.
- 之前的研究表明,对VTE发生率和结果的区域差异和人口影响.
研究的目的:
- 分析英格兰VTE住院病例的时间趋势.
- 为了比较PE和DVT的住院率,在一定的时间内.
- 评估VTE住院病人的比例相对于所有原因的住院病人的比例,并确定人口结构模式.
主要方法:
- 一项使用NHS数字医院情节统计数据集的回顾性观察性研究.
- 从1998年4月到2022年3月,对英格兰二级护理数据的分析.
- 包括所有记录有VTE住院病例的个人,检查PE,DVT和整体VTE率的趋势.
主要成果:
- 总体而言,VTE住院病例在1998年至2022年期间增加了62.6% (109.5到178.1每10万人口).
- 肺栓塞 (PE) 住院病例增长了202% (每10万人中有40.4人到122.2人),而深静脉血栓塞 (DVT) 住院病例减少了19.1% (每10万人中有69.1人到55.9人).
- 在COVID-19大流行之前,VTE构成了所有原因入院的稳定比例,之后它显著增加.
结论:
- 由于PE病例的大幅增加,VTE住院病例的显著增加主要是由于PE病例的大幅增加.
- 严重心血管疾病住院次数的下降可能表明初级保健管理策略取得了成功.
- 建议紧急实施预防措施,以减轻PE住院病例的增加.
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