Siddique R M, Amini S B, Connors A F, Rimm A A
Department of Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106-4945, USA.
Am J Public Health. 1998 Oct;88(10):1476-80. doi: 10.2105/ajph.88.10.1476.
The goal of this study was to provide estimates of race- and sex-specific survival rates over a 10-year period for a cohort of 49,752 Medicare patients admitted to the hospital in 1984 with a diagnosis of pulmonary embolism.
Data were derived from Medicare Provider Analysis and Review Record inpatient claims files and the National Death Index file.
For a primary diagnosis of pulmonary embolism, median survival times among Black men and women were 2.5 years and 5.2 years, respectively; for White men and women, the median survival times were 4.3 years and 5.9 years, respectively. Median survival times for Black men and women and White men and women with a secondary diagnosis of pulmonary embolism were 0.4 years, 0.7 years, 0.8 years, and 1.4 years, respectively. Survival rates declined with advancing age.
Overall, survival rates among Blacks were lower than those among Whites, and men had lower survival rates than women. These survival estimates provide new insights into outcomes following pulmonary embolism in hospitalized elderly people.
本研究的目的是对1984年因肺栓塞诊断入院的49752名医疗保险患者队列在10年期间的种族和性别特异性生存率进行估计。
数据来源于医疗保险提供者分析与审查记录住院索赔文件和国家死亡指数文件。
对于肺栓塞的主要诊断，黑人男性和女性的中位生存时间分别为2.5年和5.2年；白人男性和女性的中位生存时间分别为4.3年和5.9年。患有肺栓塞次要诊断的黑人男性和女性以及白人男性和女性的中位生存时间分别为0.4年、0.7年、0.8年和1.4年。生存率随着年龄的增长而下降。
总体而言，黑人的生存率低于白人，男性的生存率低于女性。这些生存估计为住院老年人肺栓塞后的预后提供了新的见解。
