韩国残疾人结核病后的长期死亡率
Jinsoo Min1, So Young Kim2,3,4, Jong Eun Park2
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Journal of Korean medical science
|February 3, 2026
概括
患有残疾的结核病幸存者面临着明显更高的长期死亡风险. 这项以人口为基础的研究强调了与结核病 (TB) 后残疾相关的脆弱性和死亡率的增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 残疾人患有不良健康结果的风险更高.
- 结核病 (TB) 幸存者是需要进一步调查的脆弱人群.
- 了解结核病幸存者的长期死亡因素对于公共卫生干预至关重要.
研究的目的:
- 评估残疾对结核病幸存者长期死亡率的影响.
- 为了比较结核病幸存者与残疾人和没有残疾人的死亡率.
- 确定与死亡风险增加相关的特定残疾类型和严重程度.
主要方法:
- 全国基于人口的队列研究,使用韩国共和国链接的国家注册数据库.
- 包括2008-2016年间诊断的305,055名肺结核患者,他们至少活了1年.
- 利用考克斯的比例危险模型来评估长期死亡风险,并根据残疾特征对子组进行分析.
主要成果:
- 在10.1%的结核病幸存者中发现了残疾.
- 残疾与较高的死亡率相关 (46.3对每1000人年16.3).
- 严重的残疾使死亡风险最高;呼吸系统残疾与结核病相关的和无关的死亡密切相关.
结论:
- 患有残疾的结核病幸存者经历了显著增加的长期死亡风险.
- 残疾状态是影响结核病后生存结果的关键因素.
- 针对残疾结核病幸存者的有针对性的干预措施是有必要的,以减轻死亡率.
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