Franciotti Dario
Azienda Sanitaria Locale of Teramo, First Aid and Admission Service, Hospital "Maria SS. dello Splendore" of Giulianova, Giulianova, Teramo, Italy.
Eur J Gastroenterol Hepatol. 2007 Sep;19(9):763-7. doi: 10.1097/MEG.0b013e32820a010d.
The aim of this study is to assess the total number of admissions and the rates of hospitalization in Italy for liver and gastrointestinal diseases in the period 1999-2002, and to indirectly highlight the peculiar epidemiological features of the diseases causing these admissions.
The data bank of the Italian Ministry of Health has been consulted. The total number of admissions for liver and gastrointestinal diseases as coded by the International Classification of Diseases Manual - Ninth Edition - Clinical Modification, and their relevant admission rates in the considered period have been calculated. Age, sex, and regional rates for these admissions have also been calculated.
In Italy, during the years 1999-2002, a total number of 7,294,792 patients (4,034,195 males and 3,260,597 females) were admitted with liver and gastrointestinal diseases. The total number of admissions relevant to the pathologies being considered has been quite steady in the study period. The calculated mean national rate of admission for these diseases was 3.19/100 (highest rate of 3.27/100 recorded in 1999 and lowest rate of 3.14/100 recorded in 2002). The highest rates of admission for the considered diseases were recorded in the two age ranges '<1 year' and '75 years and more', during the entire periods (highest rates of admission of 12.23/100 and 6.56/100, respectively, recorded in 1999). In the age range '15-24 years', the lowest rates of admission have been calculated (lowest rate of admission of 1.66/100 recorded in 2002). The Italian regions where the highest and lowest admission rates for these pathologies have been recorded are the Umbria region in 1999 (admission rate of 4.02/100) and the Friuli Venezia Giulia region in 2002 (admission rate of 2.54/100), respectively.
The study shows that in Italy a great percentage of hospital admissions is due to liver and gastrointestinal diseases; it might indirectly suggest that liver and gastrointestinal diseases are related to sex, age, and geographical factors. It, furthermore, indicates that the Italian hospital-assistance system is inadequate with respect to the number of hospitalizations for these diseases.
本研究旨在评估1999 - 2002年期间意大利因肝脏和胃肠道疾病的住院总人数及住院率，并间接突出导致这些住院病例的疾病的特殊流行病学特征。
查阅了意大利卫生部的数据库。计算了按照《国际疾病分类手册 - 第九版 - 临床修订本》编码的肝脏和胃肠道疾病的住院总人数及其在研究期间的相关住院率。还计算了这些住院病例的年龄、性别及地区住院率。
在意大利，1999 - 2002年期间，共有7294792例患者（男性4034195例，女性3260597例）因肝脏和胃肠道疾病住院。在研究期间，与所考虑病理相关的住院总人数相当稳定。计算得出这些疾病的全国平均住院率为3.19/100（1999年记录的最高住院率为3.27/100，2002年记录的最低住院率为3.14/100）。在所考虑的疾病中，“<1岁”和“75岁及以上”这两个年龄组在整个时间段内的住院率最高（1999年记录的最高住院率分别为12.23/100和6.56/100）。在“15 - 24岁”年龄组中，计算得出的住院率最低（2002年记录的最低住院率为1.66/100）。这些病理住院率最高和最低的意大利地区分别是1999年的翁布里亚地区（住院率为4.02/100）和2002年的弗留利 - 威尼斯朱利亚地区（住院率为2.54/100）。
该研究表明，在意大利，很大一部分住院病例是由肝脏和胃肠道疾病导致的；这可能间接表明肝脏和胃肠道疾病与性别、年龄及地理因素有关。此外，这表明意大利的医院援助系统在应对这些疾病的住院人数方面存在不足。
