Miyake Christina Y, Gauvreau Kimberlee, Tani Lloyd Y, Sundel Robert P, Newburger Jane W
Department of Cardiology, Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA.
Pediatrics. 2007 Sep;120(3):503-8. doi: 10.1542/peds.2006-3606.
The goal was to describe characteristics of children discharged from hospitals in the United States in 2000 with the diagnosis of acute rheumatic fever.
We explored characteristics of children <21 years of age who were hospitalized with a diagnosis of acute rheumatic fever by using the 2000 Kids' Inpatient Database, weighted to estimate the number and rate of acute rheumatic fever-associated hospitalizations in the United States.
In 2000, an estimated 503 acute rheumatic fever hospitalizations occurred among children <21 years of age, at a rate of 14.8 cases per 100,000 hospitalized children, with a mean age of 10 years. In comparison with all Kids' Inpatient Database admissions, acute rheumatic fever hospitalizations were more common in the age group of 6 to 11 years and among male patients. Chorea was more common in female patients (61.7%). White patients were significantly underrepresented, whereas Asian/Pacific Islander patients and patients of other races were overrepresented. Hospitalizations of patients with acute rheumatic fever were significantly more common in the Northeast and less common in the South. The highest rates of acute rheumatic fever hospitalizations occurred in Utah, Hawaii, Pennsylvania, and New York. Significantly more acute rheumatic fever admissions occurred in March. The expected payor was more likely to be private insurance and less likely to be Medicaid. Acute rheumatic fever hospitalizations were more likely to occur in teaching hospitals, freestanding children's hospitals, and children's units in general hospitals and in urban locations. The median length of stay for acute rheumatic fever hospitalizations was 3 days, and the median total charges were $6349. The in-hospital mortality rate was 0.6%.
In 2000, we found that hospitalizations for acute rheumatic fever were infrequent and varied according to race, season, location, and type of hospital.
本研究旨在描述2000年在美国医院确诊为急性风湿热并出院的儿童的特征。
我们利用2000年儿童住院数据库,对年龄小于21岁且因急性风湿热住院的儿童特征进行了探究,并对数据进行加权处理,以估算美国急性风湿热相关住院病例的数量和发生率。
2000年,年龄小于21岁的儿童中估计有503例急性风湿热住院病例,每10万名住院儿童中的发生率为14.8例,平均年龄为10岁。与所有儿童住院数据库的入院病例相比,急性风湿热住院病例在6至11岁年龄组以及男性患者中更为常见。舞蹈病在女性患者中更为常见(61.7%)。白人患者的占比明显偏低,而亚裔/太平洋岛民患者和其他种族患者的占比则偏高。急性风湿热患者的住院病例在东北部明显更为常见,在南部则较少见。急性风湿热住院率最高的地区是犹他州、夏威夷州、宾夕法尼亚州和纽约州。3月份急性风湿热入院病例明显更多。预期支付方更有可能是私人保险,而不太可能是医疗补助。急性风湿热住院病例更有可能发生在教学医院、独立儿童医院以及综合医院的儿科病房和城市地区。急性风湿热住院病例的中位住院时间为3天,中位总费用为6349美元。住院死亡率为0.6%。
2000年,我们发现急性风湿热住院病例并不常见,且因种族、季节、地点和医院类型而异。