糖尿病和心血管疾病患者中合并症随年龄增长的患病率。
Prevalence of comorbid conditions with aging among patients with diabetes and cardiovascular disease.
作者信息
Davis James W, Chung Richard, Juarez Deborah T
机构信息
University of Hawai'i John A. Burns School of Medicine, Honolulu, USA.
出版信息
Hawaii Med J. 2011 Oct;70(10):209-13.
OBJECTIVES
The objectives were to develop a methodology to understand the prevalence of medically complex patients, and to apply the methodology to examine patients with one or more of hypertension, hyperlipidemia, diabetes, and heart disease.
METHODS
Prevalence was measured using insurance data by calculating the proportion of days patients in a health state of interest contributed to the total days of enrollment. Graphs summarized the prevalence patterns within age and morbidity categories. Results by age and gender were supplemented with cubic spline curves that closely fit the prevalence data.
RESULTS
The study provides basic epidemiologic information on changes with aging in the prevalence of patients with one or more comorbid conditions. Patients such as those with hyperlipidemia alone rose in prevalence at younger ages and fell at older ages, whereas the prevalence of other patients, such as patients having hypertension, diabetes, and heart disease, progressively increased with age. With straightforward extensions of the methodology other issues such as the incidence of emergency department visits and hospitalizations might be investigated.
目的
目标是开发一种方法来了解患有复杂疾病的患者的患病率，并应用该方法检查患有高血压、高脂血症、糖尿病和心脏病中一种或多种疾病的患者。
方法
通过计算处于感兴趣健康状态的患者天数占总参保天数的比例，利用保险数据来测量患病率。图表总结了年龄和发病类别内的患病率模式。按年龄和性别的结果辅以紧密拟合患病率数据的三次样条曲线。
结果
该研究提供了关于患有一种或多种合并症的患者患病率随年龄变化的基本流行病学信息。仅患有高脂血症等疾病的患者患病率在年轻时上升，在老年时下降，而其他患者，如患有高血压、糖尿病和心脏病的患者，患病率随年龄逐渐增加。通过对该方法进行直接扩展，可能会研究诸如急诊科就诊率和住院率等其他问题。
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