Fuhrman C, Delmas M-C
Institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France.
Rev Mal Respir. 2010 Feb;27(2):160-8. doi: 10.1016/j.rmr.2009.08.003. Epub 2010 Jan 19.
This paper aims to summarize the most recent data on the descriptive epidemiology of chronic obstructive pulmonary disease (COPD) in France. Data are presented concerning the prevalence, mortality and hospital admissions. The prevalence of COPD is difficult to estimate due to the large degree of under-diagnosis and the difficulty of performing spirometry in population-based epidemiological surveys. The prevalence of chronic bronchitis was estimated at 4%, and the prevalence of COPD was estimated at 5-10%, among adults aged 45 years and older. Data from death certificates, although limited by the accuracy of certification, showed that the annual age-standardised mortality rates from COPD increased between 1979 and 2000 among women but remained stable among men. In 2006, about 16,500 death certificates mentioned COPD, of which 7400 identified it as the underlying cause of death. According to the French national hospital discharge database, the number of admissions related to an exacerbation of COPD ranged from 69,000 to 112,000 in 2006 according to the definition used. The admission rates have increased between 1998 and 2006 and this increase was more pronounced among women than among men. Large regional differences in COPD mortality and hospital admission rates were evident, with the highest rates in Northern and Eastern France and in Brittany.
本文旨在总结法国慢性阻塞性肺疾病（COPD）描述性流行病学的最新数据。文中呈现了有关患病率、死亡率和住院情况的数据。由于诊断不足程度较高以及在基于人群的流行病学调查中进行肺活量测定存在困难，COPD的患病率难以估计。在45岁及以上成年人中，慢性支气管炎的患病率估计为4%，COPD的患病率估计为5%至10%。死亡证明数据虽受认证准确性的限制，但显示1979年至2000年间，女性中COPD的年龄标准化年死亡率有所上升，而男性则保持稳定。2006年，约16500份死亡证明提及COPD，其中7400份将其确定为根本死因。根据法国国家医院出院数据库，2006年，根据所采用的定义，与COPD加重相关的住院人数在69000至112000之间。1998年至2006年间住院率有所上升，且女性上升幅度比男性更为明显。COPD死亡率和住院率存在明显的地区差异，法国北部、东部和布列塔尼地区的比率最高。
