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卡塔尔成年居民急性胰腺炎的发病率及流行病学特征

Incidence and epidemiological features of acute pancreatitis among adult inhabitants in Qatar.

作者信息

Elzouki Abdel-Naser, Alsaed Omar, Saeed Abazar, Ayash Ahmed, Khan Fahmi Yousef

机构信息

Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.; Weill Cornell Medical College, Doha, Qatar.

出版信息

Turk J Gastroenterol. 2019 Jan;30(1):95-100. doi: 10.5152/tjg.2018.17806.

Abstract

BACKGROUND/AIMS: Acute pancreatitis (AP) is one of the most common gastrointestinal causes of hospital admission in Qatar. The aim of the present study was to investigate the epidemiological features and demographic characteristics of patients with AP and to estimate the annual incidence rates of this disease among adult inhabitants in Qatar.

MATERIALS AND METHODS

This retrospective study was conducted using the data collected by reviewing records of patients with AP admitted to the medical and surgical wards of Hamad GeneralHospital and Alkhor Hospital, Qatar from January 2007 to December 2012. Diagnosis of AP was based on abdominal pain suggestive of AP, serum lipase and/or amylase at least three times the upper limit of normal, and/or characteristic findings of AP on abdominal ultrasound or computed tomography.

RESULTS

A total of 382 AP events were reported in 334 patients. There were 250 (75%) males and 84 (25%) females. The mean age (±SD) of the patients was 56.8±18.7 years. Gallstone disease (40.6%) was the highest cause of AP, followed by alcohol consumption (28.5%) and idiopathic AP (20.7%). The mean annual incidence rate of AP was 5 per 100,000 adult inhabitants in Qatar from January 2007 to December 2012. The incidence rate among men was higher than that among women. Mortality rate was low (0.3%), and there were complications in 112 (29.3%) patients.

CONCLUSION

The annual incidence rate of AP is relatively low in Qatar and tends to behave similar to many European countries in etiology, which can be explained by population structure. Gallstone and alcohol consumption are the main causes, and idiopathic AP is responsible for more cases than expected.

摘要

背景/目的:急性胰腺炎(AP)是卡塔尔医院收治的最常见的胃肠道病因之一。本研究的目的是调查AP患者的流行病学特征和人口统计学特征,并估计卡塔尔成年居民中该疾病的年发病率。

材料与方法

本回顾性研究使用了通过查阅2007年1月至2012年12月在卡塔尔哈马德总医院和阿尔霍尔医院内科和外科病房收治的AP患者记录所收集的数据。AP的诊断基于提示AP的腹痛、血清脂肪酶和/或淀粉酶至少为正常上限的三倍,和/或腹部超声或计算机断层扫描上AP的特征性表现。

结果

334例患者共报告了382次AP事件。男性250例(75%),女性84例(25%)。患者的平均年龄(±标准差)为56.8±18.7岁。胆结石疾病(40.6%)是AP的最主要病因,其次是饮酒(28.5%)和特发性AP(20.7%)。2007年1月至2012年12月期间,卡塔尔AP的年平均发病率为每10万成年居民5例。男性的发病率高于女性。死亡率较低(0.3%),112例(29.3%)患者出现并发症。

结论

卡塔尔AP的年发病率相对较低,病因上与许多欧洲国家相似,这可以通过人口结构来解释。胆结石和饮酒是主要病因,特发性AP导致的病例比预期更多。

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