Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Chest. 2013 Jul;144(1):284-305. doi: 10.1378/chest.13-0809.
This report updates surveillance results for COPD in the United States. For 1999 to 2011, data from national data systems for adults aged≥25 years were analyzed. In 2011, 6.5% of adults (approximately 13.7 million) reported having been diagnosed with COPD. From 1999 to 2011, the overall age-adjusted prevalence of having been diagnosed with COPD declined (P=.019). In 2010, there were 10.3 million (494.8 per 10,000) physician office visits, 1.5 million (72.0 per 10,000) ED visits, and 699,000 (32.2 per 10,000) hospital discharges for COPD. From 1999 to 2010, no significant overall trends were noted for physician office visits and ED visits; however, the age-adjusted hospital discharge rate for COPD declined significantly (P=.001). In 2010 there were 312,654 (11.2 per 1,000) Medicare hospital discharge claims submitted for COPD. Medicare claims (1999-2010) declined overall (P=.045), among men (P=.022) and among enrollees aged 65 to 74 years (P=.033). There were 133,575 deaths (63.1 per 100,000) from COPD in 2010. The overall age-adjusted death rate for COPD did not change during 1999 to 2010 (P=.163). Death rates (1999-2010) increased among adults aged 45 to 54 years (P<.001) and among American Indian/Alaska Natives (P=.008) but declined among those aged 55 to 64 years (P=.002) and 65 to 74 years (P<.001), Hispanics (P=.038), Asian/Pacific Islanders (P<.001), and men (P=.001). Geographic clustering of prevalence, Medicare hospitalizations, and deaths were observed. Declines in the age-adjusted prevalence, death rate in men, and hospitalizations for COPD since 1999 suggest progress in the prevention of COPD in the United States.
本报告更新了美国 COPD 的监测结果。1999 年至 2011 年，对全国≥25 岁成年人数据系统的数据进行了分析。2011 年，有 6.5%的成年人（约 1370 万人）报告被诊断患有 COPD。1999 年至 2011 年，总体上经年龄调整的 COPD 诊断患病率呈下降趋势（P=.019）。2010 年，有 1030 万人（每千人中有 494.8 人）因 COPD 看医生，150 万人（每千人中有 72.0 人）因 COPD 去急诊，69.9 万人（每千人中有 32.2 人）因 COPD 住院。1999 年至 2010 年，医生办公室就诊和急诊就诊没有明显的整体趋势；然而，经年龄调整的 COPD 住院率显著下降（P=.001）。2010 年，有 312654 份（每千人中有 11.2 人）医疗保险住院索赔因 COPD 提交。医疗保险索赔（1999-2010 年）总体下降（P=.045），男性（P=.022）和 65-74 岁的参保人（P=.033）。2010 年有 133575 人死于 COPD（每十万人中有 63.1 人）。1999 年至 2010 年，COPD 的总体经年龄调整死亡率没有变化（P=.163）。1999 年至 2010 年，45-54 岁成年人（P<.001）和美国印第安人/阿拉斯加原住民（P=.008）的死亡率上升，但 55-64 岁（P=.002）和 65-74 岁（P<.001）、西班牙裔（P=.038）、亚洲/太平洋岛民（P<.001）和男性（P=.001）的死亡率下降。观察到流行率、医疗保险住院和死亡率的地理聚类。自 1999 年以来，COPD 的经年龄调整的患病率、男性死亡率和住院率下降表明，美国在 COPD 预防方面取得了进展。
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