Department of Otorhinolaryngology, Taipei City Hospital, Taipei 10341, Taiwan.
Department of Speech, Language and Audiology, National Taipei University of Nursing and Health, Taipei 11219, Taiwan.
Int J Environ Res Public Health. 2021 Jan 25;18(3):1049. doi: 10.3390/ijerph18031049.
This study aimed to investigate the annual incidence of parapharyngeal and retropharyngeal abscess (PRPA) based on 10-year population-based data. Patients with PRPA were identified from the Taiwan Health Insurance Research Database, a database of all medical claims of a randomly selected, population-representative sample of over two million enrollees of the National Health Insurance system that covers over 99% of Taiwan's citizens. During 2007-2016, 5779 patients received a diagnosis of PRPA. We calculated the population-wide incidence rates of PRPA by sex and age group (20-44, 45-64, and >64) as well as in-hospital mortality. The annual incidence rate of PRPA was 2.64 per 100,000 people. The gender-specific incidence rates per 100,000 people were 3.34 for males and 1.94 for females with a male:female gender ratio of 1.72. A slight increase in incidence rates among both genders over the study period was noted. Age-specific rates were lowest in the 20-44 age group with a mean annual incidence of 2.00 per 100,000 people, and the highest rates were noted in the age groups of 45-64 and >64 years with mean annual incidences of 3.21 and 3.20, respectively. We found that PRPA is common in Taiwan, males and older individuals are more susceptible to it, and incidence has increased in recent years.
本研究旨在基于 10 年的人口数据调查咽旁和咽后脓肿（PRPA）的年发病率。从台湾健康保险研究数据库中确定了患有 PRPA 的患者，该数据库是国家健康保险系统所有医疗索赔的数据库，该系统涵盖了超过 99%的台湾公民，随机选择了超过两百万名参与者的代表性样本。在 2007 年至 2016 年期间，有 5779 名患者被诊断为 PRPA。我们按性别和年龄组（20-44、45-64 和>64）以及住院死亡率计算了 PRPA 的人群发病率。PRPA 的年发病率为每 100,000 人 2.64 例。每 100,000 人男性和女性的特定性别发病率分别为 3.34 和 1.94，男女比例为 1.72。研究期间，男女发病率均略有上升。特定年龄组的发病率在 20-44 岁年龄组最低，平均每年每 100,000 人 2.00 例，发病率最高的年龄组为 45-64 岁和>64 岁，平均每年发病率分别为 3.21 和 3.20。我们发现，PRPA 在台湾很常见，男性和老年人更容易患病，而且近年来发病率有所增加。
