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在年轻成年人中,与酒精相关的肝病住院病例的惊人增加
Chun-Wei Pan1, Pojsakorn Danpanichkul2, Daniel Guifarro1
1Division of Gastroenterology and Hepatology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
酒精相关性肝病 (ALD) 的住院病例在年轻人中比老年人增加得更快,严重程度和成本增加. 针对这个日益增长的人口群体,需要有针对性的干预措施.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 与酒精相关的肝病 (ALD) 对年轻成年人来说是一个越来越令人担忧的问题.
- 关于年轻人口中ALD住院趋势的数据有限.
研究的目的:
- 分析20-49岁成年人ALD的住院率,疾病严重程度和医疗费用.
- 将这些趋势与老年人群中的趋势进行比较.
主要方法:
- 国家住院患者样本 (2016-2022) 的回顾性分析.
- 使用ICD-10代码识别ALD,与酒精有关的肝硬化和与酒精有关的肝炎住院情况.
- 使用结点回归和Cochrane-Armitage测试来评估趋势.
主要成果:
- 年轻的成年人 (20-49岁) 与老年人 (1.78%) 相比,ALD住院病例 (每年4.48%) 的增加更为急剧.
- 到2020年,年轻人的酒精相关肝炎住院病例超过了老年人的病例.
- 在2016年至2022年期间,ALD的国家医疗保健费用从169亿美元翻了一番,从345亿美元增加到345亿美元.
结论:
- 年轻人表现出加快的ALD住院率和疾病严重程度的增加,特别是在大流行期间.
- 研究结果强调,迫切需要针对年龄特定的针对年轻人群的ALD预防和治疗策略.
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