Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
The Macquarie School of Education, Macquarie University, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2022 Aug;58(8):1439-1446. doi: 10.1111/jpc.16028. Epub 2022 May 31.
This study aims to identify the hospitalised morbidity associated with three common chronic health conditions among young people using a population-based matched cohort.
A population-level matched case-comparison retrospective cohort study of young people aged ≤18 years hospitalised with asthma, type 1 diabetes (T1D) or epilepsy during 2005-2018 in New South Wales, Australia using linked birth, health and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated by sex and age group.
There were 65 055 young people hospitalised with asthma, 6648 with epilepsy, and 2209 with T1D. Young people with epilepsy (ARR 10.95; 95% confidence interval (CI) 9.98-12.02), T1D (ARR 8.64; 95% CI 7.72-9.67) or asthma (ARR 4.39; 95% CI 4.26-4.53) all had a higher risk of hospitalisation than matched peers. Admission risk was highest for males (ARR 11.00; 95% CI 9.64-12.56) and females with epilepsy (ARR 10.83; 95% CI 9.54-12.29) compared to peers. The highest admission risk by age group was for young people aged 10-14 years (ARR 5.50; 95% CI 4.77-6.34) living with asthma, children aged ≤4 years (ARR 12.68; 95% CI 11.35-14.17) for those living with epilepsy, and children aged 5-9 years (ARR 9.12; 95% CI 7.69-10.81) for those living with T1D compared to peers.
The results will guide health service planning and highlight opportunities for better management of chronic health conditions, such as further care integration between acute, primary and community health services for young people.
本研究旨在通过基于人群的匹配队列研究，确定年轻人中三种常见慢性健康状况与住院发病率的关系。
本研究是一项基于人群的匹配病例对照回顾性队列研究，纳入了 2005 年至 2018 年期间在澳大利亚新南威尔士州因哮喘、1 型糖尿病（T1D）或癫痫住院的年龄≤18 岁的年轻人，使用了链接的出生、健康和死亡记录。对照组按照年龄、性别和居住邮政编码进行匹配。通过性别和年龄组计算调整后的发病率比（ARR）。
共有 65055 名年轻人因哮喘、6648 名因癫痫、2209 名因 T1D 住院。与匹配的同龄人相比，癫痫（ARR 10.95；95%置信区间[CI] 9.98-12.02）、T1D（ARR 8.64；95% CI 7.72-9.67）或哮喘（ARR 4.39；95% CI 4.26-4.53）患者的住院风险更高。男性（ARR 11.00；95% CI 9.64-12.56）和女性癫痫患者（ARR 10.83；95% CI 9.54-12.29）的住院风险最高。按年龄组划分，哮喘住院风险最高的是 10-14 岁（ARR 5.50；95% CI 4.77-6.34）的年轻人、癫痫住院风险最高的是≤4 岁（ARR 12.68；95% CI 11.35-14.17）的儿童、T1D 住院风险最高的是 5-9 岁（ARR 9.12；95% CI 7.69-10.81）的儿童，与同龄人相比。
研究结果将为卫生服务规划提供指导，并突出了更好地管理慢性健康状况的机会，例如为年轻人提供急性、初级和社区卫生服务之间的进一步整合。
