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溶血尿毒综合征的患病率和发病率:一项系统综述

The Prevalence and Incidence of Hemolytic Uremic Syndrome: A Systematic Review.

作者信息

Aldharman Sarah S, Almutairi Shahad M, Alharbi Alaa A, Alyousef Meshal A, Alzankrany Khalid H, Althagafi Mohammed K, Alshalahi Emtenan E, Al-Jabr Khalid H, Alghamdi Abdullrahman, Jamil Syed F

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

Collage of Medicine, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2023 May 22;15(5):e39347. doi: 10.7759/cureus.39347. eCollection 2023 May.

Abstract

A hemolytic uremic syndrome is an uncommon but severe condition brought on by an overactive alternative complement system, typically involving a hereditary component. It will be crucial to comprehend the epidemiology of hemolytic uremic syndrome as research advances toward bettering its diagnosis and treatment. A systematic review was conducted to evaluate the incidence and prevalence estimates of hemolytic uremic syndrome (HUS) internationally. A thorough literature search was conducted using PubMed, Springer, Cochrane Library for Systematic Reviews, and Embase databases between 2012 and 2023 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 recommendations. A further source of data was the PubMed Central search engine. To make sure that the evaluation included just the studies that were the most pertinent, a population, interventions, comparators, and outcomes (PICO) eligibility criterion was also used. Eight articles were included in this review. HUS had an annual crude incidence of 0.66 per 100,000 people and a standard annual incidence of 0.57 per 100,000 people. Females were more likely than males to develop HUS, but only marginally more frequently. Patients under 20 years old were the age group where HUS was most common. HUS had an average cost of $21,500 per patient, which was more expensive than the country's overall inpatient average cost for the same period. This is due to patients requiring supportive care, antibiotics, plasma exchange, plasma infusion, and renal replacement therapy, and it could take multiple courses of treatment before they improve. It was concluded that several variables, including the region, the age group affected, and the frequency of the underlying bacterial infection, determine the prevalence and incidence of HUS. HUS is often more common in children than adults and is more common in some nations. Overall, HUS is an uncommon disorder that can have significant repercussions for people who have it. For better results and fewer consequences, HUS must be diagnosed and treated as soon as possible.

摘要

溶血性尿毒症综合征是一种由替代补体系统过度激活引起的罕见但严重的病症,通常涉及遗传因素。随着研究朝着改善其诊断和治疗方向推进,了解溶血性尿毒症综合征的流行病学至关重要。进行了一项系统评价,以评估国际上溶血性尿毒症综合征(HUS)的发病率和患病率估计。根据系统评价和Meta分析的首选报告项目(PRISMA)2020建议,于2012年至2023年间使用PubMed、Springer、Cochrane系统评价图书馆和Embase数据库进行了全面的文献检索。另一个数据来源是PubMed Central搜索引擎。为确保评价仅纳入最相关的研究,还采用了人群、干预措施、对照和结局(PICO)纳入标准。本评价纳入了8篇文章。HUS的年粗发病率为每10万人0.66例,标准年发病率为每10万人0.57例。女性比男性更易患HUS,但仅略为常见。20岁以下的患者是HUS最常见的年龄组。HUS患者的平均费用为每人21,500美元,高于该国同期总体住院患者的平均费用。这是因为患者需要支持性护理、抗生素、血浆置换、血浆输注和肾脏替代治疗,且可能需要多个疗程的治疗才能改善。得出的结论是,包括地区、受影响的年龄组和潜在细菌感染的频率等几个变量决定了HUS的患病率和发病率。HUS在儿童中通常比成人更常见,且在一些国家更常见。总体而言,HUS是一种罕见疾病,会对患者产生重大影响。为了获得更好的结果并减少后果,必须尽早诊断和治疗HUS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae70/10284565/6b8b9289908c/cureus-0015-00000039347-i01.jpg

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