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在手术内和手术后呼吸系统疾病的入院情况:在英格兰和威尔士的一项生态纵向研究
Abdallah Y Naser1, Ahmed M Al Rajeh2
1Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
在英格兰,因手术内和手术后呼吸系统疾病 (IPPRDs) 住院的病例在1999-2020年间略有增加. 趋势因年龄和性别而异,突出了针对性预防策略的需要.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 术后呼吸道并发症对医疗保健系统构成重大负担.
- 在英格兰和威尔士,对因手术内和手术后呼吸系统疾病 (IPPRDs) 的住院患者的研究有限.
- 了解这些入院趋势对于制定有效的预防措施至关重要.
研究的目的:
- 分析英国与手术内和手术后呼吸系统疾病 (IPPRDs) 相关的住院病例的时间趋势.
- 为了确定特定的IPPRD,增加或减少录取率.
- 根据年龄和性别检查IPPRD招生率的变化.
主要方法:
- 生态研究利用来自英格兰医院情节统计数据库的公开数据.
- 使用诊断代码J95.5.的IPPRDs的识别.
- 使用Joinpoint回归进行的时间趋势分析,报告年度百分比变化 (APC) 和平均年度百分比变化 (AAPC).
主要成果:
- 总体而言,IPPRD的入学率从1999年至2014年略有增加,然后从2014年至2019年下降.
- "气管切除术功能故障"是最常见的入院原因.
- 孟德尔森综合征在入院率上表现出最高的增长.
- 在60岁以上的个人和男性中,入院更为常见,尽管女性的相对增加更大.
结论:
- 在英格兰,IPPRD患者的住院率在1999年至2020年之间略有整体上升.
- 观察到的趋势可能受到诊断进步,编码更新和患者相关因素的影响.
- 对于手术内和手术后的呼吸系统疾病,需要特定于年龄和性别的预防策略,建议进行进一步的研究.
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