Saia M, Pietrobon F
Direzione Servizi Sanitari, Regione Veneto, Venezia.
Ann Ig. 2009 Jan-Feb;21(1):29-34.
The incidence rate of acute pancreatitis (AP) has been reported as having increased during recent decades and associated mortality lies around 10%. This study was undertaken to establish the current AP hospitalization and mortality rates in Veneto Region. A retrospective study of all cases of acute pancreatitis admitted in hospital between 2000 and 2007 was carried out in all Veneto population. Data concerning patients discharged with a diagnosis of acute pancreatitis (ICD 9-CM code: 577.0) were obtained from the Regional data warehouse and analysed on a computer database. Altogether 11,685 discharges for AP were recorded; median age of the patients was 61.6 +/- 20.3 years. The mean annual AP hospitalization rate was 30.6 per 100,000 and in-hospital annual mortality rate (death from all causes) was 1.1 per 100,000 population. Hospitalization and mortality rates were larger in older and increased sharply with age. Hospital admissions for AP rose from 29.3 in 2000 to 32.2 per 100,000 population in 2007 without significative variations in mortality rate probably due to the increase of effectiveness and quality of care. The AP hospitalization rate in Veneto population is comparable to what has been found elsewhere in Italy and AP remains an increasing disease with high mortality.
据报道,近几十年来急性胰腺炎(AP)的发病率有所上升,相关死亡率约为10%。本研究旨在确定威尼托地区目前的AP住院率和死亡率。对2000年至2007年间威尼托地区所有住院的急性胰腺炎病例进行了一项回顾性研究。从地区数据仓库中获取了诊断为急性胰腺炎(国际疾病分类第九版临床修订本代码:577.0)出院患者的数据,并在计算机数据库上进行分析。共记录了11685例AP出院病例;患者的中位年龄为61.6±20.3岁。AP的年平均住院率为每10万人30.6例,住院年死亡率(所有原因导致的死亡)为每10万人口1.1例。住院率和死亡率在老年人中更高,并随年龄急剧上升。AP的住院人数从2000年的每10万人29.3例上升到2007年的32.2例,死亡率可能由于护理效果和质量的提高而没有显著变化。威尼托地区人群的AP住院率与意大利其他地方的情况相当,AP仍然是一种发病率不断上升且死亡率很高的疾病。