Anandan C, Gupta R, Simpson C R, Fischbacher C, Sheikh A
Allergy & Respiratory Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX, UK.
J R Soc Med. 2009 Oct;102(10):431-42. doi: 10.1258/jrsm.2009.090027.
There are ongoing concerns about the quality of care provided to patients with allergic disorders in Scotland, but there are relatively few reliable data on the overall disease burden. We sought to: (1) describe the incidence, prevalence and outcome of allergic disorders; (2) estimate healthcare burden and costs; and (3) investigate ethnic variations in the epidemiology and outcomes from allergic disorders in Scotland.
national surveys; primary care data; prescribing and medication data; hospital admissions data and mortality data.
Allergic disorders are extremely common in Scotland, affecting about one in three of the population at some time in their lives. Incidence was highest for eczema (10.2 per 1000 registered patients). Over 4% of all GP consultations and 1.5% of hospital admissions were for allergic disorders. There were 100 asthma deaths in 2005 (20 per million people). Direct healthcare costs for allergic disorders were an estimated pound130 million per year, the majority of these being incurred in primary care and related to asthma.
Allergic disorders are common in Scotland and given the very high proportion of children now affected, the high disease burden associated with these conditions is likely to persist for many decades.
苏格兰为过敏性疾病患者提供的护理质量一直备受关注，但关于总体疾病负担的可靠数据相对较少。我们试图：（1）描述过敏性疾病的发病率、患病率和转归；（2）估计医疗负担和成本；（3）调查苏格兰过敏性疾病流行病学和转归中的种族差异。
全国调查；初级保健数据；处方和用药数据；住院数据和死亡率数据。
过敏性疾病在苏格兰极为常见，约三分之一的人口在其生命中的某个时候会受到影响。湿疹的发病率最高（每1000名注册患者中有10.2例）。所有全科医生诊疗中超过4%以及住院病例中有1.5%是因过敏性疾病。2005年有100例哮喘死亡（每百万人中有20例）。过敏性疾病的直接医疗费用估计每年为1.3亿英镑，其中大部分发生在初级保健中且与哮喘有关。
过敏性疾病在苏格兰很常见，鉴于目前受影响儿童的比例非常高，与这些疾病相关的高疾病负担可能会持续数十年。
