UCD School of Physiotherapy and Performance Science, University College Dublin, Belfield, Dublin 4, Ireland.
BMC Public Health. 2009 Sep 7;9:323. doi: 10.1186/1471-2458-9-323.
A discrete sub-group of iatrogenically-acquired hepatitis C virus (HCV)-infected individuals exists in the Irish population on whom limited current research data is available. The aim of this study was to establish a current profile of the socio-demographic and clinical characteristics of the Irish iatrogenic hepatitis C population and to determine factors predicting symptoms experienced.
An anonymous, national, cross-sectional survey was conducted to explore this populations' self-reported health and social attributes. Data were collected on 290 respondents.
Mean time since infection was 26 years. Eighty-four percent (n = 237) of respondents were female (mean age = 55.9 +/- 9.6 years). Hepatic and extra-hepatic symptoms were common (62% and 99% respectively). Fatigue and pain were frequent complaints while 89% reported diagnosed co-morbid disease. On logistic regression, female gender, age and co-morbid disease emerged as independent predictors of self-reported symptoms.
This study describes the current status of the iatrogenically infected patient cohort in Ireland, adding to existing knowledge regarding the clinical course and consequences of HCV infection. Changing healthcare needs were shown by comparison with earlier surveys in this same population, in terms of disease progression, development of co-morbid disease and ageing.
在爱尔兰人群中存在一个离散的亚组,他们因医源性感染了丙型肝炎病毒(HCV),目前对此类人群的研究数据有限。本研究旨在确定爱尔兰医源性丙型肝炎人群的当前社会人口统计学和临床特征概况,并确定预测其症状的因素。
我们进行了一项全国性的、匿名的横断面调查,以探讨该人群的自我报告健康和社会属性。共收集了 290 名应答者的数据。
感染后平均时间为 26 年。84%(n=237)的应答者为女性(平均年龄为 55.9±9.6 岁)。肝和肝外症状常见(分别为 62%和 99%)。疲劳和疼痛是常见的投诉,而 89%的人报告了诊断出的合并症。在逻辑回归中,女性、年龄和合并症是自我报告症状的独立预测因素。
本研究描述了爱尔兰医源性感染患者队列的现状,增加了有关 HCV 感染的临床过程和后果的现有知识。与该人群的早期调查相比,在疾病进展、合并症的发展和老龄化方面,本研究显示了不断变化的医疗保健需求。