Vilkman S, Keistinen T, Tuuponen T, Kivelä S L
Department of Public Health Science and General Practice, University of Oulu, Finland.
Age Ageing. 1996 Mar;25(2):109-12. doi: 10.1093/ageing/25.2.109.
A discharge register maintained by the National Research and Development Center for Welfare and Health was employed to study the use of hospital services, attributable to chronic obstructive pulmonary disease (COPD), in Finland. From a total population of 5 million COPD caused 113,016 hospital treatment periods during 1983-92 of persons aged 35 years or over. In men the need of hospital treatment for COPD started to rise sharply after the age of 50. Men aged 73 had the highest amount of admissions (3962 admissions per 10-year period). Women aged 68 had the highest amount of admissions (802 admissions per 10-year period). The highest admission rate per 1000 inhabitants was found for men at the age of 82 (37.0 admissions per 1000 population/ year) and for women at the age of 77 (3.8 admissions per 1000 population/year). During the 10-year period a total of 27,008 new COPD patients aged 35 or over received hospital care. The highest number of new admissions occurred among both sexes at the age of 71 (750 admissions per 10-year period in men and 233 admissions per 10-year period in women). This means that most of admissions are due to elderly COPD patients seeking treatment repeatedly. As the populations in the developed countries are ageing, the significance of COPD for the health care system is growing.
芬兰利用国家福利与健康研究发展中心维护的出院登记册，对慢性阻塞性肺疾病（COPD）导致的医院服务使用情况展开研究。在500万总人口中，1983年至1992年期间，35岁及以上人群因慢性阻塞性肺疾病产生了113,016个住院治疗周期。男性中，50岁以后因慢性阻塞性肺疾病住院治疗的需求开始急剧上升。73岁男性的住院次数最多（每10年3962次住院）。68岁女性的住院次数最多（每10年802次住院）。每1000名居民中，82岁男性的住院率最高（每年每1000人口中有37.0次住院），77岁女性的住院率最高（每年每1000人口中有3.8次住院）。在这10年期间，共有27,008名35岁及以上的慢性阻塞性肺疾病新患者接受了住院治疗。新入院人数最多的年龄段在男女中均为71岁（男性每10年750次入院，女性每10年233次入院）。这意味着大多数入院病例是由于老年慢性阻塞性肺疾病患者反复寻求治疗。随着发达国家人口老龄化，慢性阻塞性肺疾病对医疗保健系统的重要性日益增加。
