1998 - 2018年英格兰、威尔士和苏格兰与非传染性疾病相关的急诊住院情况：一项生态学研究。
Emergency hospital admissions associated with non-communicable diseases 1998-2018 in England, Wales and Scotland: an ecological study.
作者信息
Robbins Alexander J, Fowler Alex J, Haines Ryan W, Pearse Rupert M, Prowle John R, Puthucheary Zudin
机构信息
The Royal London Hospital, London, UK and William Harvey Research Institute, London, UK
The Royal London Hospital, London, UK and William Harvey Research Institute, London, UK.
出版信息
Clin Med (Lond). 2021 Mar;21(2):e179-e185. doi: 10.7861/clinmed.2020-0830.
BACKGROUND
Non-communicable diseases (NCDs) are increasingly prevalent and were responsible for 40.5 million deaths (71%) globally in 2016. We examined the number of NCD-related emergency hospital admissions during the years 1998 to 2018 in the UK.
METHODS
Demographic features for those admitted as an emergency with NCDs as their primary diagnosis were collated for all admissions in England, Wales and Scotland. NCDs recorded as secondary diagnoses for all admissions in England from 2012 to 2018 were additionally recorded.
RESULTS
We identified 120,662,155 emergency episodes of care. From 1998 to 2018 there was an increase from 1,416,233 to 1,892,501 in annual emergency admissions due to NCDs. This, however, represented a fall in the proportion of NCD among all emergency admissions, from 33.4% to 26.9%. Mean age of all patients admitted increased from 46.3 to 53.8 years.
CONCLUSION
Despite a fall in proportion of NCD admissions, the population acutely admitted to hospital was increasingly elderly and increasingly comorbid.
背景
非传染性疾病（NCDs）日益普遍，2016年在全球导致4050万人死亡（占71%）。我们调查了1998年至2018年英国与非传染性疾病相关的急诊住院人数。
方法
整理了以非传染性疾病作为主要诊断的急诊患者的人口统计学特征，涵盖英格兰、威尔士和苏格兰的所有住院病例。此外，还记录了2012年至2018年英格兰所有住院病例中作为次要诊断记录的非传染性疾病。
结果
我们识别出120662155次急诊护理事件。从1998年到2018年，因非传染性疾病导致的年度急诊住院人数从1416233人增加到1892501人。然而，这在所有急诊住院病例中所占的比例却有所下降，从33.4%降至26.9%。所有住院患者的平均年龄从46.3岁增至53.8岁。
结论
尽管非传染性疾病住院病例的比例有所下降，但急性入院的人群年龄越来越大，合并症也越来越多。
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