Holman Robert C, Christensen Krista Y, Belay Ermias D, Steiner Claudia A, Effler Paul V, Miyamura Jill, Forbes Susan, Schonberger Lawrence B, Melish Marian
Division of Viral and Rickettsial Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, US Department of Health and Human Services, Atlanta, Georgia 30333, USA.
Hawaii Med J. 2010 Aug;69(8):194-7.
To describe the occurrence of Kawasaki syndrome (KS) among different racial/ethnic groups in Hawaii.
Retrospective analysis of children <18 years of age, with a focus on children <5 years of age, living in Hawaii who were hospitalized with KS using the 1996-2006 Hawaii State Inpatient Data.
Children <5 years of age accounted for 84% of the 528 patients <18 years of age with KS. The average annual incidence among this age group was 50.4 per 100,000 children <5 years of age, ranging from 45.5 to 56.5. Asian and Pacific Islander children accounted for 92% of the children <5 years of age with KS during the study period; the average annual incidence was 62.9 per 100,000. Within this group, Japanese children had the highest incidence (210.5), followed by Native Hawaiian children (86.9), other Asian children (84.9), and Chinese children (83.2). The incidence for white children (13.7) was lower than for these racial/ethnic groups. The median age of KS admission for children <5 years of age was 21 months overall, 24 months for Japanese children, 14.5 months for Native Hawaiian children and 26.5 months for white children.
The high average annual KS incidence for children <5 years of age in Hawaii compared to the rest of the United States population reflects an increased KS incidence among Asian and Pacific Islander children, especially Japanese children. The incidence for white children was slightly higher than or similar to that generally reported nationwide.
描述夏威夷不同种族/族裔群体中川崎病（KS）的发病情况。
对夏威夷18岁以下儿童进行回顾性分析，重点关注5岁以下儿童，使用1996 - 2006年夏威夷州住院患者数据，分析因KS住院的儿童情况。
在528例18岁以下患KS的患者中，5岁以下儿童占84%。该年龄组的年平均发病率为每10万名5岁以下儿童中有50.4例，范围在45.5至56.5之间。在研究期间，亚洲和太平洋岛民儿童占5岁以下患KS儿童的92%；年平均发病率为每10万名中有62.9例。在这一群体中，日本儿童发病率最高（210.5），其次是夏威夷原住民儿童（86.9）、其他亚洲儿童（84.9）和中国儿童（83.2）。白人儿童的发病率（13.7）低于这些种族/族裔群体。5岁以下儿童KS入院的中位年龄总体为21个月，日本儿童为24个月，夏威夷原住民儿童为14.5个月，白人儿童为26.5个月。
与美国其他地区人口相比，夏威夷5岁以下儿童的KS年平均发病率较高，这反映出亚洲和太平洋岛民儿童，尤其是日本儿童的KS发病率有所上升。白人儿童的发病率略高于或与全国普遍报告的发病率相似。
