University of Queensland Diamantina Institute, Princess Alexandra Hospital, Ipswich Road, Woolloogabba, Queensland 4102, Australia.
Rheumatology (Oxford). 2013 Jan;52(1):118-26. doi: 10.1093/rheumatology/kes253. Epub 2012 Sep 18.
To describe the national demographics, comorbidities and mortality of admissions associated with gout in New Zealand (NZ) from 1999 to 2009 and compare this with English gout admission data from the same period.
The characteristics of all admissions due to or complicated by gout in NZ from 1999 to 2009 were analysed. These findings were then compared with the wider NZ population and the English National Health Service (NHS) gout admission rates from 1999 to 2009.
There were 10 241 admissions due to gout (group A) and 34 318 admissions complicated by gout (group B) in NZ from 1999 to 2009. There were 32 741 admissions due to gout in England over the same period. Gout admissions rose at 5.5% per year in NZ and at 7.2% per year in England over the study period. NZ gout patients admitted to hospital were more likely to be Māori or a Pacific Islander and had 3-7 comorbidities. Multiple admissions were common with 1479 NZ gout patients admitted more than once. Comorbidities varied between the NZ groups A and B: hypertension (19-39%), renal disease (16-27%) and diabetes mellitus (20-27%) were common. Heart failure (27.6%) and cardiovascular disease (39.1%) were common in those who had gout complicating their hospital admission. This group also had poorer survival compared with those admitted primarily for gout.
This is the first study to describe the epidemiology of admissions associated with gout across an entire country. Admissions are rising in both countries studied and those admitted in NZ have a high rate of comorbidity and re-admission.
描述新西兰（NZ）1999 年至 2009 年与痛风相关的住院患者的全国人口统计学、合并症和死亡率，并将其与同期英国痛风住院数据进行比较。
分析了 1999 年至 2009 年期间 NZ 所有因痛风或并发痛风的住院患者的特征。然后将这些发现与更广泛的 NZ 人群和同期英国国民保健制度（NHS）痛风住院率进行比较。
1999 年至 2009 年期间，NZ 共有 10241 例因痛风（A 组）和 34318 例因痛风并发的住院患者（B 组）。同期，英国共有 32741 例因痛风住院。在研究期间，NZ 痛风住院人数每年增长 5.5%，英国每年增长 7.2%。在 NZ 住院的痛风患者更有可能是毛利人或太平洋岛民，且有 3-7 种合并症。多次住院很常见，1479 名 NZ 痛风患者多次住院。A 组和 B 组的合并症不同：高血压（19-39%）、肾脏疾病（16-27%）和糖尿病（20-27%）较为常见。心力衰竭（27.6%）和心血管疾病（39.1%）在那些因痛风并发住院的患者中较为常见。与那些主要因痛风住院的患者相比，这些患者的存活率较低。
这是第一项描述整个国家痛风相关住院患者流行病学的研究。在这两个研究国家，住院人数都在增加，而 NZ 住院患者的合并症和再入院率较高。
