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西班牙(2001-2006 年)急性乙型肝炎住院治疗的趋势、合并症、死亡率以及住院费用。

Trends of acute hepatitis B hospitalizations, comorbidities, fatality rate, and costs associated with the hospitalization in Spain (2001-2006).

机构信息

Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Madrid, Spain.

出版信息

Eur J Gastroenterol Hepatol. 2010 Aug;22(8):961-6. doi: 10.1097/MEG.0b013e32833783b4.

Abstract

INTRODUCTION

The objective of this study is to analyze data related to hospitalization, comorbidities, fatality rate, average stays, and costs associated with hospitalized cases of acute hepatitis B in Spain, during 2001-2006.

METHODS

A retrospective study to analyze the characteristics of acute hepatitis B patients admitted to Spanish hospitals was performed using the minimum basic data set. Costs were calculated using the diagnosis-related groups for the disease.

RESULTS

The total number of hospitalized patients diagnosed with acute hepatitis B was 2160, of which 73.8% were diagnosed in men. The highest rate corresponds to the group aged 20-39 years (2.33/100 000 inhabitants). Ninety deaths (4.2%) were reported out of the total hospitalized patients. The average hospital stay was 10 days. The trends in the rate of hospitalized acute hepatitis B cases were not statistically significant. There were no differences found in the average length of stay or in the cost during the study period. The estimated total cost was 7 451 098 euros.

CONCLUSION

The rate of hospitalized acute hepatitis B patients in Spain did not change during the 2001-2006 period. Having an adequate surveillance system and continuing with the universal immunization and risk group programs, and health education, remain a high priority.

摘要

简介

本研究的目的是分析 2001-2006 年期间在西班牙住院的急性乙型肝炎病例的住院情况、合并症、死亡率、平均住院时间和费用相关数据。

方法

使用最小基本数据集对住院的急性乙型肝炎患者的特征进行回顾性研究。使用疾病相关诊断组计算费用。

结果

共诊断出 2160 例住院的急性乙型肝炎患者,其中 73.8%为男性。发病率最高的是 20-39 岁年龄组(2.33/100000 居民)。在住院患者中报告了 90 例死亡(4.2%)。平均住院时间为 10 天。住院急性乙型肝炎病例的发病率趋势无统计学意义。在研究期间,平均住院时间或费用无差异。估计总成本为 7451098 欧元。

结论

2001-2006 年期间,西班牙住院的急性乙型肝炎患者的发病率没有变化。拥有一个适当的监测系统,继续实施普遍免疫和高危人群计划,以及开展健康教育,仍然是当务之急。

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