Allareddy Veerasathpurush, Rampa Sankeerth, Allareddy Veerajalandhar, Nalliah Romesh P
College of Dentistry, The University of Iowa, Iowa City, IA, USA.
College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Clin Respir J. 2017 Jan;11(1):21-27. doi: 10.1111/crj.12296. Epub 2015 Apr 29.
The objective of this study is to examine longitudinal trends in hospital admissions attributed to tuberculosis and resulting hospitalization outcomes in the United States for the years 2000-2010.
We used the Nationwide Inpatient Sample, which is the largest all-payer and nationally representative in-hospital dataset in the United States. All hospitalizations that had a primary diagnosis for tuberculosis were selected for analysis. Patient characteristics and outcomes including discharge status following hospitalization, length of stay in hospital and hospitalization charges were examined.
During the study period, a total of 96 431 hospitalizations occurred due to tuberculosis. The mean age of hospitalizations was 48.6 years. Males comprised 64.2% of all hospitalizations; 24.8% were Whites, 25.5% Blacks, 26.5% Hispanics, 14.3% Asians/Pacific Islanders, 1% Native Americans, and 7.9% other/mixed races. Following hospitalization, 72.1% were discharged routinely, 3.4% were transferred to another acute-care hospital, 10.7% to long-term care facilities including skilled nursing facilities, 7.6% to home health care, and 2.1% were discharged against medical advice. There were 3815 patients who died (4% of hospitalizations). The total hospitalization charge for this cohort of patients admitted due to tuberculosis across the United States was $6.96 billion and the total hospitalization days over study period was 1 419 605 days.
High-risk cohorts who are likely to be hospitalized due to tuberculosis included Blacks and Hispanics. Majority of hospitalization comprised of males. Even though the annual number of hospitalizations reduced over the study period, substantial amounts of resources are used in hospital settings to manage tuberculosis.
本研究的目的是调查2000 - 2010年美国因结核病导致的住院人数的纵向趋势以及由此产生的住院治疗结果。
我们使用了全国住院患者样本，它是美国最大的全支付方且具有全国代表性的住院数据集。选择所有以结核病作为主要诊断的住院病例进行分析。研究了患者特征和结果，包括住院后的出院状态、住院时间和住院费用。
在研究期间，因结核病共发生96431例住院病例。住院患者的平均年龄为48.6岁。男性占所有住院病例的64.2%；24.8%为白人，25.5%为黑人，26.5%为西班牙裔，14.3%为亚裔/太平洋岛民，1%为美洲原住民，7.9%为其他/混合种族。住院后，72.1%的患者常规出院，3.4%的患者转至另一家急性护理医院，10.7%转至长期护理机构，包括专业护理机构，7.6%转至家庭医疗护理，2.1%的患者违反医嘱出院。有3815名患者死亡（占住院病例的4%）。美国这一因结核病入院患者群体的总住院费用为69.6亿美元，研究期间的总住院天数为1419605天。
可能因结核病住院的高危人群包括黑人和西班牙裔。住院患者多数为男性。尽管在研究期间住院年度数量有所减少，但医院仍投入大量资源来管理结核病。
