[基于布宜诺斯艾利斯大都市区一家教学医院的残疾独特证书的残疾患病率和发病率]

[Prevalence and incidence of disability based on the Unique Certificate of Disability at a teaching hospital in the Metropolitan Area of Buenos Aires].

作者信息

Puga Celeste, Pagotto Vanina, Giunta Diego, Vicens Jimena, Leist Mariana, Vaucheret Paz Esteban, Hornstein Lucila, Garfi Leonardo, Agosta Guillermo

机构信息

Departamento de Pediatría, Servicio de Neurología del Hospital Italiano de Buenos Aires.

Departamento de Investigación, Hospital Italiano de Buenos Aires.

出版信息

Arch Argent Pediatr. 2019 Jun 1;117(3):183-187. doi: 10.5546/aap.2019.eng.183.

DOI:10.5546/aap.2019.eng.183

PMID:31063306

Abstract

Disability is a public health problem that affects an individual's comprehensive development opportunities. The objective of this study was to estimate the annual incidence and prevalence and the diagnostic categories associated with total disability and age groups based on the application for a Unique Certificate of Disability. This was an analytical cohort study in children aged 0-18 years conducted at a teaching hospital of the Metropolitan Area of Buenos Aires between January 2010 and December 2017. Among 22 750 active members, 726 patients applied for a Unique Certificate of Disability; the prevalence was 3.2 % (95 % confidence interval [CI]: 2.9-3.4). The annual cumulative incidence increased from 2012 (0.22 %, 95 % CI: 0.1-0.19) to 2017 (0.59 %, 95 % CI: 0.5-0.7). Mental disabilities accounted for 80 % (n = 576). This study showed an increase in the incidence of disability and also the mental disability category.

摘要

残疾是一个影响个人全面发展机会的公共卫生问题。本研究的目的是根据残疾唯一证书申请情况，估算全因残疾的年发病率、患病率以及与年龄组相关的诊断类别。这是一项在2010年1月至2017年12月期间于布宜诺斯艾利斯大都市区的一家教学医院对0至18岁儿童开展的队列分析研究。在22750名活跃成员中，726名患者申请了残疾唯一证书；患病率为3.2%（95%置信区间[CI]：2.9 - 3.4）。年累积发病率从2012年的0.22%（95%CI：0.1 - 0.19）升至2017年的0.59%（95%CI：0.5 - 0.7）。精神残疾占80%（n = 576）。本研究表明残疾发病率以及精神残疾类别均有所增加。