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住院系统性结缔组织疾病患者的入院率及特征:来自泰国全国医疗保健数据库的分析。

Admission rate and characteristics of hospitalized systemic connective tissue disorders: analysis from a nationwide Thailand healthcare database.

机构信息

Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

出版信息

Int J Rheum Dis. 2013 Feb;16(1):41-6. doi: 10.1111/1756-185X.12031. Epub 2013 Jan 24.

DOI:10.1111/1756-185X.12031
PMID:23441771
Abstract

BACKGROUND

Reports of hospitalized systemic connective tissue disorders (SCNTD) are mostly disease-specific reports from institutional databases.

OBJECTIVE

To clarify the admission rate, disease determination, hospital mortality rate, length of stay and hospital charges among hospitalized patients diagnosed with SCNTD.

MATERIALS AND METHODS

The data were extracted from the 2010 national database of hospitalized patients provided by the Thai Health Coding Center, Bureau of Policy and Strategy, Ministry of Public Health, Thailand. Patients over 18 years having International Classification of Diseases (ICD)-10 codes for a primary diagnosis related to SCNTD were included.

RESULTS

There were 6861 admissions coded as disorders related to SCNTD during the fiscal year 2010. The admission rate was 141 per 100,000 admissions. Among these, systemic lupus erythematosus (SLE) was the most common, followed by systemic sclerosis (SSc) and dermatomyositis/polymyositis (DM-PM). The overall mean length of hospital stay was 6.8 days. Small vessel vasculitis and Sjögren syndrome had the longest and the shortest hospital stays respectively (14.5 vs. 5.3 days). Hospital charges were highest among systemic vasculitis and DM-PM patients.

CONCLUSION

The admission rate for SCNTD in Thailand was 141 per 100,000 admissions among which SLE was the most common. Overall hospital mortality was 4.1%. Although a lower prevalence was found among systemic vasculitis, it had a higher mortality rate, longer length of stay and greater therapeutic cost.

摘要

背景

住院系统性结缔组织疾病(SCNTD)的报告大多来自机构数据库的特定疾病报告。

目的

明确诊断为 SCNTD 的住院患者的入院率、疾病确定、住院死亡率、住院时间和住院费用。

材料和方法

数据来自泰国卫生部政策与策略局泰国卫生编码中心提供的 2010 年全国住院患者数据库。纳入年龄超过 18 岁且具有与 SCNTD 相关的主要诊断的国际疾病分类(ICD)-10 编码的患者。

结果

在 2010 财年,有 6861 例编码为与 SCNTD 相关的疾病的入院。入院率为每 100,000 例入院 141 例。其中,系统性红斑狼疮(SLE)最常见,其次是系统性硬化症(SSc)和皮肌炎/多发性肌炎(DM-PM)。总体平均住院时间为 6.8 天。小血管血管炎和干燥综合征的住院时间分别最长和最短(14.5 天和 5.3 天)。全身性血管炎和 DM-PM 患者的住院费用最高。

结论

泰国 SCNTD 的入院率为每 100,000 例入院 141 例,其中 SLE 最常见。总体住院死亡率为 4.1%。尽管全身性血管炎的患病率较低,但死亡率较高,住院时间较长,治疗费用较高。

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