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葡萄牙一家三级保健中心葡萄膜炎的流行病学。

Epidemiology of Uveitis in a tertiary care centre in Portugal.

机构信息

Faculty of Medicine of the University of Porto, Porto, Portugal.

Department of Ophthalmology, Hospital S. João, Porto, Portugal.

出版信息

Semin Ophthalmol. 2021 Feb 17;36(1-2):51-57. doi: 10.1080/08820538.2021.1885721.

Abstract

: Evaluate the prevalence and incidence, demographic characteristics, anatomical classification, concomitant complications and treatment of uveitis, as well as its association with systemic diseases in the northern Portuguese population referred to a tertiary care centre (São João Hospital, Porto).: A retrospective observational study of 545 consecutive uveitis cases was performed between 12th April 2012 and the 26th October 2017. Uveitis was classified according to Standard Uveitis Nomenclature, while aetiology and complications were diagnosed by specific clinical and laboratory testing.: Prevalence was calculated to be 12,4 cases per 100,000 people while incidence was 3.9 cases per 100,000 people annual incidence. The ratio of females to males was 1.32:1 and the mean age at diagnosis was 47,86 years. Anterior uveitis was the most common classification making up 47.5%, followed by non-infectious posterior uveitis 18,0%, infectious posterior uveitis 8,4%, intermediate uveitis 5,5% and panuveitis 4,2%. Extra-uveal entities made up the rest of the causes (16.4%). In terms of aetiology, the majority of uveitis was idiopathic (32,1%) followed by axial spondylarthritis (12.1%), Behçet's disease (8,8%), sarcoidosis (6,1%), tuberculosis (5,5%), herpes (5,1%), toxoplasmosis (3,1%) among other less frequent causes.: In our referral region, 72% of uveitis cases were correctly identified surpassing other studies. There was a higher rate of intermediate uveitis and lower number of panuveitis cases when compared to a previous Portuguese study. Extensive monitoring of the development of uveitis by international multicentre prospective studies could be useful for increasing practitioner awareness and diagnostic approach.

摘要

评估葡萄牙北部一个三级保健中心(波尔图圣若昂医院)就诊人群中葡萄膜炎的患病率和发病率、人口统计学特征、解剖分类、伴随并发症和治疗方法,以及其与系统性疾病的关系。

对 2012 年 4 月 12 日至 2017 年 10 月 26 日期间的 545 例连续葡萄膜炎病例进行了回顾性观察性研究。葡萄膜炎根据标准葡萄膜炎命名法进行分类,病因和并发症通过特定的临床和实验室检查进行诊断。

患病率计算为每 10 万人中有 12.4 例,发病率为每 10 万人中有 3.9 例。女性与男性的比例为 1.32:1,诊断时的平均年龄为 47.86 岁。前葡萄膜炎是最常见的分类,占 47.5%,其次是非感染性后葡萄膜炎 18.0%、感染性后葡萄膜炎 8.4%、中间葡萄膜炎 5.5%和全葡萄膜炎 4.2%。眼外实体构成了其余病因(16.4%)。就病因而言,大多数葡萄膜炎是特发性的(32.1%),其次是中轴型脊柱关节炎(12.1%)、贝切特病(8.8%)、结节病(6.1%)、结核(5.5%)、疱疹(5.1%)、弓形虫病(3.1%)等少见病因。

在我们的转诊地区,72%的葡萄膜炎病例得到了正确识别,超过了其他研究。与之前的葡萄牙研究相比,中间葡萄膜炎的发生率较高,全葡萄膜炎的病例较少。通过国际多中心前瞻性研究对葡萄膜炎的发展进行广泛监测,可能有助于提高医生的认识和诊断方法。

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