中国九个城市慢性咳嗽的患病率和疾病负担：一项观察性研究。

Prevalence and disease burden of chronic cough in nine cities of China: an observational study.

机构信息

Global Medical Affairs, MRL, MSD China, Shanghai, China.

Global Medical and Scientific Affairs, MSD, Hong Kong, Hong Kong Special Administration Region, China.

出版信息

BMC Pulm Med. 2024 Jul 4;24(1):322. doi: 10.1186/s12890-024-03017-6.

DOI:10.1186/s12890-024-03017-6

PMID:38965528

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11225231/

Abstract

BACKGROUND

Chronic cough (CC) is common in the general population of China, creating a difficult-to-ignore public health burden. However, there is a lack of research on the nationwide prevalence and disease burden of CC in the Chinese population. We aim to use an insurance claims database to assess the prevalence and the corresponding economic burden owing to CC in China.

METHODS

This was a retrospective observational study based on an administrative medical insurance database in 2015, 2016 and 2017, from nine cities in North, South, East, South-West, and North-West regions of China. The study population was Chinese adults (≥ 18 years old) who had been identified as CC patients. Descriptive data analyses were used in statistical analysis.

RESULTS

A total of 44,472, 55,565, and 56,439 patients with mean ages of 53.2 (16.3) years were identified as patients with CC in 2015, 2016, and 2017, respectively. Of these, 55.24% were women. In addition, 8.90%, 9.46%, and 8.37% of all patients in 2015, 2016, and 2017, who had applied for medical insurance, had CC, respectively, with a three-year average probability of 8.88%. The median number of outpatient visits within a calendar year was 27 per year due to any reason during the period of 2015-2017. The median medical cost of each patient per year increased from 935.30 USD to 1191.47 USD from 2015 to 2017.

CONCLUSION

CC is common among medical insurance users, with a substantial utilization of medical resources, highlighting the huge burden of CC in China.

摘要

背景

慢性咳嗽（CC）在中国普通人群中较为常见，是一个不容忽视的公共卫生负担。然而，目前中国人群中 CC 的全国患病率和疾病负担方面的研究较为缺乏。本研究旨在利用医疗保险理赔数据库评估中国 CC 的患病率及其相应的经济负担。

方法

本研究基于 2015、2016 和 2017 年中国九个城市（东北、华北、华东、华南、西南和西北）的医疗保险理赔数据库，进行了一项回顾性观察性研究。研究人群为中国成年人（≥18 岁），经诊断为 CC 患者。在统计学分析中采用描述性数据分析。

结果

2015、2016 和 2017 年分别有 44472、55565 和 56439 名年龄均为 53.2（16.3）岁的患者被诊断为 CC。其中，55.24%为女性。此外，2015、2016 和 2017 年，分别有 8.90%、9.46%和 8.37%的所有医疗保险患者患有 CC，三年的平均患病率为 8.88%。2015-2017 年期间，每个日历年内因任何原因就诊的患者的门诊就诊中位数为 27 次。每位患者每年的医疗费用中位数从 2015 年的 935.30 美元增加到 2017 年的 1191.47 美元。