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2001 - 2010年美国哮喘患病率、医疗保健利用情况及死亡率的趋势

Trends in asthma prevalence, health care use, and mortality in the United States, 2001-2010.

作者信息

Akinbami Lara J, Moorman Jeanne E, Bailey Cathy, Zahran Hatice S, King Michele, Johnson Carol A, Liu Xiang

机构信息

Centers for Disease Control and Prevention National Center for Health Statistics 3311 Toledo Road, Hyattsville, Maryland 20782, USA.

出版信息

NCHS Data Brief. 2012 May(94):1-8.

Abstract

Asthma prevalence increased from 2001 to 2010: An estimated 25.7 million persons had asthma in 2010. Certain demographic groups had higher asthma prevalence: children aged 0–17 years, females, black persons, persons of multiple race, Puerto Rican persons, and persons with a family income below the poverty level. This report examines rates for asthma outcomes (health care encounters and death) for persons with asthma rather than for the general population. Rates for the general population represent the burden of asthma in the United States. Rates for the population with asthma take into account changes in asthma prevalence over time and differences in asthma prevalence among demographic groups. From 2001 to 2009, rates for ED visits and hospitalizations per 100 persons with asthma remained stable, while rates for asthma visits in primary care settings (physician offices or hospital outpatient departments) and asthma deaths declined. For the period 2007–2009, asthma visit rates (per 100 persons with asthma) in primary care settings for black persons were similar to those for white persons, but rates for asthma ED visits, hospitalizations, and death (per 1,000) were higher. Compared with adults, children aged 0–17 years had a higher rate for asthma visits in primary care settings and EDs, but had a similar hospitalization rate and a lower asthma death rate.

摘要

2001年至2010年期间哮喘患病率上升:2010年估计有2570万人患有哮喘。某些人口群体的哮喘患病率较高:0至17岁的儿童、女性、黑人、多种族人群、波多黎各人以及家庭收入低于贫困线的人群。本报告研究的是哮喘患者的哮喘相关后果(医疗就诊和死亡)发生率,而非普通人群的发生率。普通人群的发生率代表了美国哮喘的负担。哮喘患者人群的发生率考虑到了哮喘患病率随时间的变化以及不同人口群体之间哮喘患病率的差异。2001年至2009年期间,每100名哮喘患者的急诊就诊率和住院率保持稳定,而初级保健机构(医生办公室或医院门诊部)的哮喘就诊率和哮喘死亡率有所下降。在2007年至2009年期间,黑人在初级保健机构的哮喘就诊率(每100名哮喘患者)与白人相似,但哮喘急诊就诊率、住院率和死亡率(每1000人)更高。与成年人相比,0至17岁的儿童在初级保健机构和急诊室的哮喘就诊率更高,但住院率相似,哮喘死亡率更低。

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