Department of Angiology, Klinik für Angiologie, HELIOS Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Germany.
J Thromb Thrombolysis. 2010 Apr;29(3):349-53. doi: 10.1007/s11239-009-0396-1.
With the introduction of Diagnosis Related Groups (DRG) for reimbursement in 2003 detailed description of the prevalence of pulmonary embolism (PE) in hospitalized patients in Germany was possible for the first time. Thus we estimated the incidence rate of PE in Germany. Detailed lists of all PE coded as I26 performed in 2005, 2006 and 2007 were provided by the Federal Statistical Office. In addition age- and gender-adjusted incidence rates were calculated for all cases for which PEs were coded. In 2005 a total of 67,351, in 2006 a total of 69,234 and in 2007 a total of 71,223 PEs (I26.0) were coded either as principal or secondary diagnosis in German hospitals. 54-57% of all PEs were coded as principal diagnosis. Age- and gender adjusted incidence of PEs raised with increasing ages and were higher in males aged 30-49 and 50-69 years than in females within the same age groups. Up to 60% of all PE documented in females occurred within the 8th and 9th decade of life. Departments of Geriatric Medicine, Haematology and Oncology and Pneumology had the highest rates of intrahospital PEs documented as secondary diagnosis. The presented data are derived from the most reliable data base for the estimation of PE in Germany, and the analysis shows that PE is still a relevant problem. They do not give any information about the individual settings and preventability of PEs. An accompanying analysis of hospital and pre-hospital settings is mandatory to recognize possible strategies to prevent PEs more effectively.
自 2003 年引入按诊断相关分组（DRG）付费以来，德国首次能够详细描述住院患者中肺栓塞（PE）的流行情况。因此，我们估计了德国的 PE 发病率。联邦统计局提供了 2005 年、2006 年和 2007 年所有编码为 I26 的 PE 详细列表。此外，还为所有编码为 PE 的病例计算了年龄和性别调整后的发病率。2005 年共有 67351 例，2006 年共有 69234 例，2007 年共有 71223 例（I26.0）被编码为德国医院的主要或次要诊断。所有 PE 中 54-57%被编码为主诊断。PE 的年龄和性别调整发病率随年龄的增加而增加，在 30-49 岁和 50-69 岁的男性中高于同年龄组的女性。在女性中，多达 60%的 PE 记录发生在 8 至 9 十年级。老年医学、血液学和肿瘤学以及肺病学系记录的院内 PE 作为次要诊断的比例最高。所提供的数据来自德国 PE 估计最可靠的数据库，分析表明 PE 仍然是一个相关问题。它们没有提供有关个别环境和 PE 可预防的任何信息。对医院和院前环境进行伴随分析是识别更有效地预防 PE 的可能策略所必需的。
