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美国儿童中的川崎病

Kawasaki disease among children in the United States.

作者信息

Ramphul Kamleshun, Mejias Stephanie G, Joynauth Jyotsnav

机构信息

Department of Pediatrics, Shanghai Xin Hua Hospital affiliated to the Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Department of Pediatrics, Robert Reid Cabral Children's Hospital affiliated to the University Iberoamericana UNIBE, School of Medicine, Santo Domingo, Dominican Republic.

出版信息

Reumatologia. 2019;57(4):253-254. doi: 10.5114/reum.2019.87618. Epub 2019 Aug 31.

Abstract

Kawasaki disease (KD) is a medium-sized-vessel vasculitis that affects mostly children. The 2016 Healthcare Cost and Utilization Project Kid's Inpatient Database (HCUP KID) was used in weighted form to investigate differences in gender, month of year, race, region, total charges, and household income in the United States. 5503 weighted cases were found. It was more common in males (3345, 60.8%) than females (2158, 39.2%) ( < 0.01). Most admitted KD patients were white (1913, 38.1%). A higher prevalence of Kawasaki disease was seen among patients of Asian or Pacific Islander background (0.2%). The southern regions of the United States reported the highest rate of admission with 2036 patients (37%). The median age on admission was 2 years (interquartile range [IQR] of 1-5, < 0.01) and the median charge was $32,170 (IQR: $20,825-$50,502.05) ( < 0.01). Most admissions of Kawasaki disease were recorded in winter with a peak in March (623, 11.3%) ( < 0.01).

摘要

川崎病(KD)是一种主要影响儿童的中等大小血管的血管炎。2016年医疗成本和利用项目儿童住院数据库(HCUP KID)以加权形式用于调查美国在性别、月份、种族、地区、总费用和家庭收入方面的差异。共发现5503例加权病例。男性(3345例,60.8%)比女性(2158例,39.2%)更常见(<0.01)。大多数入院的川崎病患者是白人(1913例,38.1%)。亚洲或太平洋岛民背景的患者中川崎病患病率较高(0.2%)。美国南部地区报告的入院率最高,有2036例患者(37%)。入院时的中位年龄为2岁(四分位间距[IQR]为1 - 5岁,<0.01),中位费用为32,170美元(IQR:20,825 - 50,502.05美元)(<0.01)。大多数川崎病入院记录在冬季,3月达到峰值(623例,11.3%)(<0.01)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5bb/6753601/01bea239bf42/RU-57-87618-g001.jpg

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