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2010 年至 2018 年墨西哥的哮喘死亡率和住院情况:回顾性流行病学特征。

Asthma Mortality and Hospitalizations in Mexico from 2010 to 2018: Retrospective Epidemiologic Profile.

机构信息

Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX 77843, USA.

Department of Health Sciences, School of Medicine, Universidad Marista, Periférico Norte Tablaje Catastral 13941, Mérida 97300, Mexico.

出版信息

Int J Environ Res Public Health. 2020 Jul 14;17(14):5071. doi: 10.3390/ijerph17145071.

Abstract

Acute respiratory infections have been established as the principal cause of disease in the Mexican population from 2000 to 2018; however, even when these diseases may aggravate asthma, there is a lack of epidemiologic evidence on the health outcomes when both conditions coexist. Learning about the asthma hospitalizations trends will help us identify monthly variation of hospitalizations, vulnerable groups, needed services, and improvements in therapeutics and prevention. This study aims to analyze the variation in asthma hospitalizations and mortality during the 2010-2018 period in Mexico. Data were obtained from the General Board of Health Information (DGIS) Open Access datasets, which were analyzed taking hospital discharges and hospital deaths recorded from 2010 to 2018 from all public hospitals nationwide. The binomial logistic regression analyses were performed to determine the association between patient ages, hospitalization month, and mortality. The death rate from asthma in Mexico decreased between 2010 and 2018. Still, the hospital mortality rate shows recent improvement; however, prognosis of hospitalized patients depends on their age, accurate diagnosis, length of hospital stay and occurrence of nosocomial infection.

摘要

急性呼吸道感染已被确定为 2000 年至 2018 年期间墨西哥人群疾病的主要原因;然而,即使这些疾病可能使哮喘恶化,但当这两种情况同时存在时,关于健康结果的流行病学证据仍然缺乏。了解哮喘住院趋势将帮助我们确定住院人数的每月变化、弱势群体、所需服务以及治疗和预防的改善。本研究旨在分析 2010-2018 年期间墨西哥哮喘住院和死亡的变化。数据来自公共卫生部信息总委员会(DGIS)开放获取数据集,该数据集分析了 2010 年至 2018 年期间全国所有公立医院记录的出院和住院死亡情况。进行二项逻辑回归分析以确定患者年龄、住院月份和死亡率之间的关联。2010 年至 2018 年间,墨西哥哮喘死亡率有所下降。尽管如此,住院死亡率最近有所改善;然而,住院患者的预后取决于他们的年龄、准确的诊断、住院时间长短和医院感染的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91b8/7400455/776784c3fdd5/ijerph-17-05071-g001.jpg

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