澳大利亚、英格兰和威尔士因肺炎住院情况:一项生态横断面研究。

Hospitalization due to pneumonia in Australia, England, and Wales: An ecological cross-sectional study.

作者信息

Samannodi Mohammed

机构信息

Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

出版信息

Medicine (Baltimore). 2025 Apr 11;104(15):e42163. doi: 10.1097/MD.0000000000042163.

Abstract

Pneumonia and other lower respiratory tract diseases rank as the fourth leading cause of death worldwide. The objective of this study was to examine pneumonia hospitalization patterns, and trends in total pneumonia hospitalization stratified by age group, by type of hospitalization, and by age group in Australia, England, Wales. This study utilized 3 databases to obtain hospital admissions data: the National Hospital Morbidity Database for Australian hospital admissions data, the Hospital Episode Statistics database (HES) for England hospital admissions data, and the Patient Episode Database for Wales. Pneumonia hospitalization data were extracted utilizing J12 to J18 codes. From 2013 to 2020, there were 4,514,444 cases of pneumonia hospitalizations reported in Australia (646,515 [14.32%]), England (3,668,106 [81.25%]), and Wales (199,823 [4.43%]). The most common type of pneumonia hospitalization in Australia, England, and Wales was "pneumonia, organism unspecified," accounting for 77.12%, 95.49%, and 95.75% of the total number of pneumonia hospitalizations in each country, respectively. The most common subtype of pneumonia hospitalization in Australia was "pneumonia, unspecified," accounting for 72.98% of the total number of pneumonia hospitalizations in the country. The most common type of pneumonia hospitalization in England and Wales was "lobar pneumonia, unspecified," accounting for 59.00% and 56.73% of the total number of pneumonia hospitalizations in each country, respectively. Most pneumonia hospitalizations in Australia, England, and Wales were non-same-day hospitalizations, accounting for 90.78%, 99.91%, and 99.95%, respectively. Pneumonia hospitalizations in Australia, England, and Wales were directly related to age. Males accounted for most pneumonia hospitalizations in Australia, England, and Wales. This study highlighted that hospitalization rate for pneumonia increased during the past decade in Australia, England, and Wales. The age and male gender were clearly contributing factors that affected pneumonia hospitalizations rate. Educational campaign aiming to increase public knowledge of pneumonia, its risk factors, and lifestyle modification should be prioritized to decrease pneumonia episodes.

摘要

肺炎和其他下呼吸道疾病是全球第四大死因。本研究的目的是调查澳大利亚、英格兰和威尔士的肺炎住院模式,以及按年龄组、住院类型和年龄组划分的肺炎总住院趋势。本研究利用3个数据库获取住院数据:澳大利亚住院数据的国家医院发病率数据库、英格兰住院数据的医院事件统计数据库(HES)以及威尔士的患者事件数据库。利用J12至J18编码提取肺炎住院数据。2013年至2020年期间,澳大利亚报告了4514444例肺炎住院病例(646515例[14.32%]),英格兰(3668106例[81.25%]),威尔士(199823例[4.43%])。在澳大利亚、英格兰和威尔士,最常见的肺炎住院类型是“未指明病原体的肺炎”,分别占各国肺炎住院总数的77.12%、95.49%和95.75%。澳大利亚最常见的肺炎住院亚型是“未指明的肺炎”,占该国肺炎住院总数的72.98%。英格兰和威尔士最常见的肺炎住院类型是“未指明的大叶性肺炎”,分别占各国肺炎住院总数的59.00%和56.73%。澳大利亚、英格兰和威尔士的大多数肺炎住院病例是非当日住院病例,分别占90.78%、99.91%和99.95%。澳大利亚、英格兰和威尔士的肺炎住院病例与年龄直接相关。在澳大利亚、英格兰和威尔士,男性占肺炎住院病例的大多数。本研究强调,在过去十年中,澳大利亚、英格兰和威尔士的肺炎住院率有所上升。年龄和男性性别显然是影响肺炎住院率的因素。应优先开展旨在提高公众对肺炎及其危险因素的认识以及生活方式改变的教育活动,以减少肺炎发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf2/11999438/95e836ba09d0/medi-104-e42163-g001.jpg

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