Haefliger E
Praxis (Bern 1994). 1996 Jun 11;85(24):783-91.
The medical statistics of VESKA (Association of Swiss Hospitals), MSV, comprise and include the spectrum of all diseases in patients admitted to Swiss hospitals which are members of the association. Documentation is carried out in accordance with the WHO ICD code. Tuberculosis is registered under the main figures 010 to 018. The MSV makes an essential contribution in a special area to the recording of tuberculosis in Switzerland. The ICD code classes the disease either in positions 1 to 3 as the category of "all (TB) diagnoses' or as "principal diagnosis' in the first place. The numerical values are either recorded individually for the years 1990 to 1993 or as mean values of these four years. Tuberculosis occupies a small space within the overall statistics. Of a total of 722 868 and 369 840 coded diagnoses (1990 to 1993, averages), 1100 and 627, respectively, fall under tuberculosis in the two categories. This corresponds to a proportion of 0.15% and 0.17%, respectively. Tuberculosis becomes more important because the general average hospital stay of 12.7 days is almost doubled with an average of 24.7 days for tuberculosis patients. If the costs per case generally stand at Sfr. 7353.-, then, for tuberculosis patients, they rise to Sfr. 14 301.-. The overall costs for tuberculosis patients per calendar year total Sfr. 15 731 430.- and Sfr. 8 966 915.-, respectively, in the two categories. Tuberculosis is, therefore, a disease which is still of economic significance even in Switzerland. In the category of types of tuberculosis, pulmonary tuberculosis (011) still today occupies first position compared to previous analyses with current figures of 65.1% and 67.7% respectively. In the case of the extra-pulmonary types, uro-genital tuberculosis (016) stands in second place with 5.7% and 3.5% in the two categories, after the group of tuberculosis of other organs (017) with 5.9% and 6.1%, respectively. There was a constant preponderance of male over female patients (64.3% vs. 35.6%). If decades ago tuberculosis shifted to and was spread over more advanced age groups in Switzerland, the proportion of foreigners now within the whole population has brought about a change. Almost twice as many tuberculosis cases occur within the 20-year to 40-year age group than in the other age groups, in which a certain degree of levelling off is apparent. From comparisons of notifications to authorities in Switzerland and from hospitalization rates, it can be deduced that there is no increased need for hospitalization for any particular age group.
瑞士医院协会（VESKA）的医学统计数据（MSV）涵盖了该协会成员瑞士医院收治患者的所有疾病种类。记录工作按照世界卫生组织的国际疾病分类代码（WHO ICD code）进行。结核病登记在主编码010至018之下。MSV在瑞士结核病记录的一个特殊领域做出了重要贡献。国际疾病分类代码将该疾病在第1至3位归类为“所有（结核病）诊断”类别，或者首先归类为“主要诊断”。数值要么单独记录1990年至1993年的数据，要么记录这四年的平均值。结核病在总体统计中占比很小。在总共722868个和369840个编码诊断（1990年至1993年平均值）中，两类中分别有1100个和627个属于结核病。这分别对应0.15%和0.17%的比例。结核病变得更加重要，因为一般患者平均住院天数为12.7天，而结核病患者平均住院天数几乎翻倍，为24.7天。如果每个病例的成本一般为7353瑞士法郎，那么结核病患者的成本则升至14301瑞士法郎。两类中，每年结核病患者的总成本分别为15731430瑞士法郎和8966915瑞士法郎。因此，即使在瑞士，结核病仍是一种具有经济意义的疾病。在结核病类型类别中，与之前的分析相比，肺结核（011）至今仍占首位，目前的数据分别为65.1%和67.7%。在肺外类型中，泌尿生殖系统结核病（016）在两类中分别以5.7%和3.5%位居第二，仅次于其他器官结核病组（017），其比例分别为5.9%和6.1%。男性患者一直多于女性患者（64.3%对35.6%）。如果几十年前瑞士的结核病转移并扩散到了年龄更大的群体，那么现在整个人口中外国人的比例带来了变化。20岁至40岁年龄组的结核病病例几乎是其他年龄组的两倍，其他年龄组的病例数有一定程度的持平。从瑞士向当局的通报比较以及住院率来看，可以推断出任何特定年龄组的住院需求都没有增加。
