O'Brien Kathleen
Academic Unit of General Practice, Australian National University, Canberra, Australia.
J Paediatr Child Health. 2020 Jul;56(7):1126-1133. doi: 10.1111/jpc.14847. Epub 2020 Mar 12.
To estimate and describe trends in hospitalisations for Kawasaki disease in Australia.
Analysis of the National Hospital Morbidity Database for separations with a principal diagnosis of Kawasaki disease, 1993-1994 to 2017-2018. Limited to persons aged 0-19 years.
Over the period 1993-1994 to 2017-2018, there were 6368 hospitalisations for Kawasaki disease among people aged 0-19 years; 433 same-day (6.8%) and 5935 overnight (93.2%). Among overnight separations, 15.8% were for children under the age of 1 year and 58.7% for those aged 1-4 years; 60.3% were for males. The hospitalisations rate has increased from 5.2 per 100 000 population in 1993-1994 to 12.4 per 100 000 in 2017-2018. The ratio of male to female hospitalisations was 1.5:1.
Kawasaki disease is uncommon among Australia children, but its incidence is increasing. As there are no known preventable risk factors for the disease, prompt identification and treatment remain crucial to minimising the risk of cardiovascular sequelae.
评估并描述澳大利亚川崎病住院情况的趋势。
分析1993 - 1994年至2017 - 2018年国家医院发病率数据库中主要诊断为川崎病的出院病例。仅限0 - 19岁人群。
在1993 - 1994年至2017 - 2018年期间,0 - 19岁人群中有6368例川崎病住院病例;433例当日出院(6.8%),5935例过夜住院(93.2%)。在过夜出院病例中,1岁以下儿童占15.8%,1 - 4岁儿童占58.7%;男性占60.3%。住院率从1993 - 1994年的每10万人5.2例增至2017 - 2018年的每10万人12.4例。男女住院比例为1.5:1。
川崎病在澳大利亚儿童中并不常见,但其发病率正在上升。由于该疾病尚无已知的可预防风险因素,及时识别和治疗对于将心血管后遗症风险降至最低仍然至关重要。