2017-2018 年澳大利亚新南威尔士州急诊科主动脉夹层的发病率和结局：一项数据关联研究。

Incidence and outcomes of aortic dissection for emergency departments in New South Wales, Australia 2017-2018: A data linkage study.

机构信息

Emergency Department, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

出版信息

Emerg Med Australas. 2020 Aug;32(4):599-603. doi: 10.1111/1742-6723.13472. Epub 2020 Feb 16.

DOI:10.1111/1742-6723.13472

PMID:32064768

Abstract

OBJECTIVE

The aims of the present study were to describe the age-specific incidence and 30-day mortality of aortic dissection patients presenting to the EDs in New South Wales (NSW).

METHODS

This was a data linkage study involving emergency, inpatient and death registry administrative data from NSW.

RESULTS

The present study found 273 instances of aortic dissection in NSW from July 2017 to July 2018. Calculated incidence was 3.47 per 100 000. Incidence increased exponentially with age. The 30-day mortality rate among this cohort was 35.53% (n = 97). Mortality was significantly associated with age and pre-existing comorbidity burden, but was not associated with gender, level of hospital or time of presentation.

CONCLUSIONS

The present study found the incidence of aortic dissection within the NSW population to be 3.4 per 100 000. The incidence of aortic dissection in our population increased from 8.6 per 100 000 for people aged between 60 and 80 years to 32 per 100 000 for those aged over 80 years.

摘要

目的

本研究旨在描述新南威尔士州（NSW）急诊科就诊的主动脉夹层患者的年龄特异性发病率和 30 天死亡率。

方法

这是一项数据关联研究，涉及 NSW 的急诊、住院和死亡登记管理数据。

结果

本研究在 2017 年 7 月至 2018 年 7 月期间在 NSW 发现了 273 例主动脉夹层。计算出的发病率为每 100000 人 3.47 例。发病率随年龄呈指数增长。该队列的 30 天死亡率为 35.53%（n=97）。死亡率与年龄和预先存在的合并症负担显著相关，但与性别、医院级别或就诊时间无关。