Keistinen T, Tuuponen T, Kivelä S L
Department of Pulmonary Medicine, Päivärinne Hospital, Jokirinne, Finland.
Thorax. 1993 Jan;48(1):44-7. doi: 10.1136/thx.48.1.44.
The number of asthma related treatment periods in hospital has increased in many countries, particularly among children. The aim of the present investigation was to describe the use made of hospital services by asthmatic patients over a wide range in Finland.
A total of 255,387 treatment periods for asthma that had occurred between 1972 and 1986 was collected from the discharge register maintained by the National Board of Health (diagnosis 493, International Classification of Diseases). The numbers of admissions, days in hospital, and new occurrences of asthma were calculated by sex and age in relation to the total population at the end of each year.
Asthma induced treatment periods in hospital in Finland were 12,860 (277 treatment periods per 100,000 inhabitants) in 1972 and 20,000 (406 per 100,000 inhabitants) in 1986. The annual increase in the number of such periods was 4.7% for men (95% confidence interval (95% CI) 3.5 to 5.9%) and 3.4% for women (2.1 to 4.7%) in relation to population. The most pronounced change was found in those aged 65 years and over, in which the number of treatment periods was found to increase annually by 7.5% (6.0 to 9.0%) for men and 4.9% (3.4 to 6.5%) for women, whereas the smallest increase was found among persons under 15 years with an annual change of 1.3% (0.2 to 2.3%) for boys and 1.1% (-0.1 to 2.4%) for girls. Although the number of asthma related treatment periods increased, that of new patients with asthma did not. An average of 114 new male asthmatic patients per 100,000 men were treated in hospitals annually between 1977 and 1986, whereas the figure for women was 115; the annual change during this 10 year period was 0.2% (-0.8 to 1.2%) for men and -0.8% (-1.8 to 0.2%) for women.
The increase in the number of asthma related hospital treatment periods seemed attributable to the frequent treatment of the same patients. Treatment periods for persons aged 40 years or over were found to increase most, suggesting that the treatment of these asthmatic patients should be optimised and its organisation improved.
在许多国家，与哮喘相关的住院治疗次数有所增加，尤其是在儿童中。本研究的目的是描述芬兰不同年龄段哮喘患者对医院服务的利用情况。
从国家卫生局维护的出院登记册中收集了1972年至1986年间共255,387个哮喘治疗周期（国际疾病分类诊断代码493）。根据每年年底的总人口，按性别和年龄计算入院人数、住院天数以及哮喘新发病例数。
1972年芬兰因哮喘导致的住院治疗周期为12,860个（每10万居民中有277个治疗周期），1986年为20,000个（每10万居民中有406个治疗周期）。相对于人口数量，此类周期数的年增长率男性为4.7%（95%置信区间（95%CI）3.5%至5.9%），女性为3.4%（2.1%至4.7%）。65岁及以上人群的变化最为显著，其中男性治疗周期数的年增长率为7.5%（6.0%至9.0%），女性为4.9%（3.4%至6.5%），而15岁以下人群的增长率最小，男孩的年变化率为1.3%（0.2%至2.3%），女孩为1.1%（-0.1%至2.4%）。尽管与哮喘相关的治疗周期数增加了，但哮喘新患者的数量并未增加。1977年至1986年间，每年每10万男性中平均有114名新的哮喘男性患者住院治疗，女性为115名；在此10年期间，男性的年变化率为0.2%（-0.8%至1.2%），女性为-0.8%（-1.8%至0.2%）。
与哮喘相关的住院治疗周期数的增加似乎归因于同一患者的频繁治疗。发现40岁及以上人群的治疗周期增加最多，这表明应对这些哮喘患者的治疗进行优化并改善其组织安排。
