The Queen's Medical Center, Honolulu, HI, USA.
University of Hawaii John A, Burns School of Medicine, Honolulu, HI, USA.
J Parkinsons Dis. 2024;14(4):725-735. doi: 10.3233/JPD-230341.
Little is known about the epidemiology of Parkinson's disease (PD) patients in Native Hawaiian Or Other Pacific Islander (NHPI) and Asian American (AA) subgroups.
To determine if the prevalence of hospitalized PD patients is different across age groups and racial/ethnic subgroups in Hawaii.
We conducted a retrospective analysis of Hawaii statewide registry (2016-2020) hospitalization data for patients who were 50 years or older. PD patients were identified using an ICD 10 code: Parkinson's Disease (G20) as their primary/secondary hospitalization discharge diagnosis code. Demographic and clinical characteristics among racial/ethnic subgroups (White, Japanese, Filipino, Chinese, NHPI, or Other) were compared.
Of 146,844 total hospitalized patients (n = 429,879 records), 1.6% (n = 2,401) had a PD diagnosis. The prevalence of hospitalized PD patients was 2.3% among Japanese and Chinese, followed by 1.7% for Whites, 1.2% for Filipinos and was lowest for NHPI with 0.9% (p < 0.001). As patient's age increased, the prevalence of hospitalized PD patients increased, with 80-84 years old for the highest age range (3.4%). The prevalence of hospitalized PD patients at 80-84 years old varied across the race/ethnic subgroups (Chinese 4.3%, Japanese 4.0%, Whites 3.7%, Filipinos 2.5%, NHPI 2.3%).
The prevalence of hospitalized PD patients among all case hospitalizations were lower for NHPI and Filipino compared to that of Japanese, Chinese, and Whites. As patients' age increased, the prevalence of hospitalized patients with PD increased, but less so in NHPI and Filipino groups. Further research is warranted to understand the reason for these observed differences among racial/ethnic subgroups.
关于夏威夷原住民或其他太平洋岛民（NHPI）和亚裔美国人（AA）亚组中的帕金森病（PD）患者的流行病学知之甚少。
确定在夏威夷，住院 PD 患者的患病率是否因年龄组和种族/族裔亚组而异。
我们对夏威夷全州登记处（2016-2020 年）的住院数据进行了回顾性分析，纳入年龄在 50 岁及以上的患者。PD 患者的识别依据是 ICD 10 编码：帕金森病（G20）作为其主要/次要住院出院诊断编码。比较了种族/族裔亚组（白人、日本人、菲律宾人、中国人、NHPI 或其他）之间的人口统计学和临床特征。
在 146844 名总住院患者（n=429879 份记录）中，1.6%（n=2401）有 PD 诊断。日本人（2.3%）和中国人（2.3%）的住院 PD 患者患病率最高，其次是白人（1.7%），菲律宾人（1.2%）最低，NHPI 为 0.9%（p<0.001）。随着患者年龄的增加，住院 PD 患者的患病率也随之增加，80-84 岁年龄组的患病率最高（3.4%）。80-84 岁年龄组住院 PD 患者的患病率因种族/族裔亚组而异（中国人 4.3%、日本人 4.0%、白人 3.7%、菲律宾人 2.5%、NHPI 2.3%）。
与日本人、中国人和白人相比，NHPI 和菲律宾人的住院 PD 患者患病率较低。随着患者年龄的增加，PD 住院患者的患病率增加，但 NHPI 和菲律宾人组的增加幅度较小。需要进一步研究以了解这些观察到的种族/族裔亚组之间差异的原因。
