Department of respiratory care, College of Applied Medical Sciences, King Faisal University, AL-Ahsa, Saudi Arabia.
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
Medicine (Baltimore). 2023 May 26;102(21):e33616. doi: 10.1097/MD.0000000000033616.
Acute respiratory infections block the bronchial and/or nasal systems' airways. These infections may present in a variety of ways, from minor symptoms like the common cold to more serious illnesses like pneumonia or lung collapse. Acute respiratory infections cause over 1.3 million infant deaths under the age of 5 each year throughout the world. Among all illnesses, respiratory infections make for 6% of the worldwide disease burden. We aimed to examine the admissions related to acute upper respiratory infections admissions in England and Wales for the period between April 1999 and April 2020. This was an ecological study using publicly available data extracted from the Hospital Episode Statistics database in England, and the Patient Episode Database for Wales for the period between April 1999 and April 2020. The acute upper respiratory infections-related hospital admissions were identified using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems 5th Edition (used by National Health Service [NHS] to classify diseases and other health conditions) (J00-J06). The total annual number of admissions for various reasons increased by 1.09-fold (from 92,442 in 1999 to 193,236 in 2020), expressing an increase in hospital admission rate of 82.5% (from 177.30 [95% confidence interval {CI}: 176.15-178.44] in 1999 to 323.57 [95%CI: 322.13-325.01] in 2020 per 100,000 persons, P < .01). The most common causes were acute tonsillitis and acute upper respiratory infections of multiple and unspecified sites, which accounted for 43.1% and 39.4%, respectively. Hospital admissions rate due to acute upper respiratory infections increased sharply during the study period. The rates of hospital admissions were higher among those in the age group below 15 and 75 years and above for the majority of respiratory infections, with a higher incidence in females.
急性呼吸道感染阻塞了支气管和/或鼻系统的气道。这些感染可能以多种方式出现,从普通感冒等轻微症状到肺炎或肺塌陷等更严重的疾病。急性呼吸道感染每年导致全世界 5 岁以下婴儿死亡超过 130 万。在所有疾病中,呼吸道感染占全球疾病负担的 6%。我们旨在研究 1999 年 4 月至 2020 年 4 月期间英格兰和威尔士因急性上呼吸道感染住院的情况。这是一项使用从英格兰医院入院统计数据库和威尔士患者入院数据库中提取的公开数据进行的生态研究,研究期间为 1999 年 4 月至 2020 年 4 月。使用国际疾病分类第十版(国际疾病分类第十次修订版)(国际疾病和相关健康问题统计分类第十版)(英国国家卫生服务局用于对疾病和其他健康状况进行分类)(J00-J06)确定与急性上呼吸道感染相关的医院入院人数。各种原因导致的年住院总人数增加了 1.09 倍(从 1999 年的 92442 例增加到 2020 年的 193236 例),表示住院率增加了 82.5%(从 1999 年的每 100000 人 177.30 [95%置信区间{CI}:176.15-178.44]增加到 2020 年的 323.57 [95%CI:322.13-325.01],P <.01)。最常见的原因是急性扁桃体炎和急性上呼吸道感染的多个和未指明部位,分别占 43.1%和 39.4%。在研究期间,急性上呼吸道感染导致的住院率急剧上升。在大多数呼吸道感染中,年龄在 15 岁以下和 75 岁以上的人群住院率较高,女性发病率较高。