Porath A, Grinberg G, Meidan N, Reuveni H, Heimer D
Dept. of Medicine, Soroka Medical Center, Beer Sheba.
Harefuah. 1995 Feb 15;128(4):207-10, 264.
Characteristics of patients admitted to the general medical wards of this hospital during the 21 months between January 1990 and September 1991 were analyzed. Cardiovascular and respiratory disease-related (CR) admissions accounted for 46.8% of the 18,774 admissions. Using a linear model, we examined the relationship between season and clinical characteristics of the patients admitted with CR diagnoses. They were admitted more often during the winter (December-February) than the summer (June-August). The ratio of CR admissions to other causes of admission was 0.75 in the summer, 0.93 in the spring, 1.01 in the winter, and 0.82 in the autumn (p < 0.0001). Seasonality affected more patients with coronary heart disease, noncoronary cardiac disease, and chronic pulmonary disease than those with pneumonia or other pulmonary diseases, or cerebrovascular events. Those admitted during the winter were older, had more than 1 CR condition, and their hospital stays were longer. This pattern of hospitalization partly explains the increase in admissions to medical wards in the winter with increase in work load.
对1990年1月至1991年9月这21个月期间入住本院普通内科病房的患者特征进行了分析。在18774例入院患者中,心血管和呼吸系统疾病相关(CR)入院病例占46.8%。我们使用线性模型研究了季节与CR诊断入院患者临床特征之间的关系。他们在冬季(12月至2月)入院的频率高于夏季(6月至8月)。夏季CR入院病例与其他入院原因的比例为0.75,春季为0.93,冬季为1.01,秋季为0.82(p<0.0001)。季节性对冠心病、非冠心病和慢性肺病患者的影响大于肺炎或其他肺病患者或脑血管疾病患者。冬季入院的患者年龄更大,患有不止一种CR疾病,住院时间更长。这种住院模式部分解释了冬季内科病房入院人数随着工作量增加而增加的原因。