土耳其慢性阻塞性肺疾病发病率的地理分布：COPDTURKEY-2。
The Geographical Distribution of Morbidity Caused By Chronic Obstructive Pulmonary Disease in Turkey: COPDTURKEY-2.
机构信息
Clinic of Chest Diseases, Sincan Dr. Nafiz Körfez State Hospital, Ankara, Turkey
Clinic of Chest Diseases, University of Health Sciences, Dr. Abdurrahman Yurtaslan Ankara Oncology Research and Training Hospital, Ankara, Turkey
出版信息
Balkan Med J. 2020 Apr 10;37(3):157-162. doi: 10.4274/balkanmedj.galenos.2020.2019.10.79. Epub 2020 Feb 14.
BACKGROUND
Chronic obstructive pulmonary disease (COPD) is one of the most prevalent causes for morbidity and mortality, and it creates a cumulative economic and social burden.
AIMS
To determine the distribution of the prevalence of patients in Turkey who were diagnosed with COPD and their morbidity rates, according to the regions and cities they belong to. Moreover, the study contributes to the prevention and cure services of COPD that should be planned in the future.
STUDY DESIGN
A retrospective cohort.
METHODS
The database of the Social Security Institution from 2016 has been scanned. All the data with prescription registration, with the code ICD-10, J44.0-J44.9, which were aimed for diagnosing and/or cure, have been evaluated with a retrospective cohort.
RESULTS
In 2016, 955,369 patients who were admitted as outpatients to the hospitals were diagnosed with COPD. The average number of annual COPD cases that were admitted was 2.09. Twenty percent (20%) of the outpatient applications were via emergency room. The rate of hospitalization among the applicants was 17.75%, with a total of 1,994,325. The average annual number of hospitalizations of men was higher than that of women. The average number of hospitalization days was 6.52. The region with the highest prevalence of outpatient admission and hospitalization was the Black Sea Region.
CONCLUSION
The high rate of hospitalization was considered to be the outcome of the insufficient “outpatient” management.
背景
慢性阻塞性肺疾病（COPD）是发病率和死亡率的最常见原因之一，它造成了累积的经济和社会负担。
目的
根据患者所在地区和城市，确定在土耳其被诊断患有 COPD 的患者的患病率分布及其发病率。此外，该研究有助于为未来规划 COPD 的预防和治疗服务。
研究设计
回顾性队列研究。
方法
扫描了 2016 年社会安全机构的数据库。对所有以处方登记为目的、具有 ICD-10 编码 J44.0-J44.9 的诊断和/或治疗数据进行了评估，这些数据都采用了回顾性队列研究。
结果
2016 年，有 955369 名患者因 COPD 被诊断为门诊患者。每年 COPD 患者的平均就诊次数为 2.09 次。20%的门诊申请是通过急诊室进行的。申请人的住院率为 17.75%，共有 1994325 例。男性的年平均住院次数高于女性。住院天数的平均值为 6.52 天。门诊和住院就诊率最高的地区是黑海地区。
结论
高住院率被认为是“门诊”管理不足的结果。
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