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[西班牙一家三级医院肺炎住院负担。2009 - 2014年期间]

[Burden of hospitalization for pneumonia in a Spanish tertiary hospital. Period 2009-2014].

作者信息

López-Gobernado Miguel, Pérez-Rubio Alberto, López-García Eva, Mayo-Iscar Agustín, Eiros José María

机构信息

Hospital Clínico Universitario de Valladolid, Valladolid, España.

出版信息

Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):170-175.

Abstract

BACKGROUND

The aim of this paper is to estimate the burden of hospitalization for community-acquired pneumonia and pneumococcal pneumonia at a tertiary level hospital in the Spanish National Health System.

METHODS

A retrospective study which compiles data from the Minimum Data Set using clinical codes of the International Code of Diseases, as well as the hospitalization rate index per thousand inhabitants, the hospitalization rate per thousand population, mortality and fatality rate, using as denominator the demographic data of the population of the Health Area.

RESULTS

The discharge of 5758 episodes coded with CIE codes 480 to 486 related to pneumonia, indicates an hospitalization rate of 3.54 people hospitalized per 1000 inhabitants, 65.34 % of all hospital admissions occured in Internal Medicine Services and Pneumology. The average hospital stay per year is 16.63 days. The crude death rate is 69.15 per 100 000 inhabitants and the fatality rate is 19.56 % being higher in adults over 65 years.

CONCLUSIONS

Despite the current therapeutic and preventive measures, the incidence and mortality of community-acquired pneumonia in adults remains high, which justifies the strengthening and awareness to address new strategies and prevention such as vaccination.

摘要

背景

本文旨在评估西班牙国家卫生系统中一家三级医院社区获得性肺炎和肺炎球菌肺炎的住院负担。

方法

一项回顾性研究,使用国际疾病分类临床编码从最小数据集汇编数据,以及每千居民的住院率指数、每千人口的住院率、死亡率和病死率,以卫生区域人口的人口统计数据作为分母。

结果

5758例编码为国际疾病分类编码480至486的肺炎相关病例出院,表明每1000居民中有3.54人住院,所有住院患者的65.34%发生在内科和肺病科。每年的平均住院天数为16.63天。粗死亡率为每10万居民69.15人,病死率为19.56%,65岁以上成年人的病死率更高。

结论

尽管目前有治疗和预防措施,但成人社区获得性肺炎的发病率和死亡率仍然很高,这证明加强并提高对新策略和预防措施(如疫苗接种)的认识是合理的。

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