Acute admissions to medical departments in Denmark: Diagnoses and patient characteristics
Acute admissions to medical departments in Denmark: Diagnoses and patient characteristics
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DOI：
10.1016/j.ejim.2014.06.017
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发表时间：
2014-09-01
影响因子：
8
通讯作者：
Christiansen, Christian Fynbo
中科院分区：
文献类型：
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作者：
Vest-Hansen, Betina;Riis, Anders Hammerich;Christiansen, Christian Fynbo
背景：尽管对个别疾病进行了广泛的研究，但基于人群的关于急性入院原因的了解仍然有限。我们的目的是检查丹麦医疗部门急性入院患者的初步诊断、查尔森合并症指数 (CCI) 评分、年龄和性别。 方法：在这项基于人群的观察性研究中，丹麦国家患者登记处 (DNRP) 确定了 2010 年入院的 264,265 名急性内科患者，涵盖丹麦所有医院。急性入院的原因根据初步诊断进行评估，并根据《国际疾病分类》第 10 版进行分组。此外，还根据每个诊断组提供了 CCI 评分、年龄和性别。 结果：三分之二的患者有以下四种入院原因之一：心血管疾病（19.3%）、非特异性 Z 诊断（“影响健康状况和与卫生服务接触的因素”）（16.9%）、传染病（15.5%）和非特异性 R 诊断（“症状和异常发现，未在其他地方分类”） （11.8%）。总共有45%的患者CCI评分为1或以上，并且患者的慢性病和入院原因之间存在相当大的重叠。研究人群的中位年龄为 64 岁（IQR 47-77 岁），范围从受伤和中毒的 46 岁（IQR 27-66）到血液疾病的 74 岁（IQR 60-83）。诊断组内的性别代表性差异很大，例如，精神障碍中男性占主导地位（59.0%），肌肉骨骼系统疾病中女性占主导地位（57.8%）。 结论：我们的研究发现，急性内科患者经常出现与其慢性疾病相关的非特异性症状或并发症。 (C) 2014 年欧洲内科联合会。由 Elsevier B.V 出版。保留所有权利。
Background: Despite extensive research on individual diseases, population-based knowledge about reasons for acute medical admissions remains limited. Our aim was to examine primary diagnoses, Charlson Comorbidity Index (CCI) score, age, and gender among patients admitted acutely to medical departments in Denmark.Methods: In this population-based observational study, 264,265 acute medical patients admitted during 2010 were identified in the Danish National Registry of Patients (DNRP), covering all hospitals in Denmark. Reasons for acute admissions were assessed by primary diagnoses, grouped according to the International Classification of Diseases 10th edition. Additionally, the CCI score, age and gender were presented according to each diagnostic group.Results: Two-thirds of the patients had one of the four following reasons for admission: cardiovascular diseases (19.3%), non-specific Z-diagnoses ("Factors influencing health status and contact with health services") (16.9%), infectious diseases (15.5%), and non-specific R-diagnoses ("Symptoms and abnormal findings, not elsewhere classified") (11.8%). In total, 45% of the patients had a CCI score of one or more and there was a considerable overlap between the patients' chronic diseases and the reason for admission. The median age of the study population was 64 years (IQR 47-77 years), ranging from 46 years (IQR 27-66) for injury and poisoning to 74 years (IQR 60-83) for hematological diseases. Gender representation varied considerably within the diagnostic groups, for example with male predominance in mental disorders (59.0%) and female predominance in diseases of the musculoskeletal system (57.8%).Conclusion: Our study identifies that acute medical patients often present with non-specific symptoms or complications related to their chronic diseases. (C) 2014 European Federation of Internal Medicine. Published by Elsevier B. V. All rights reserved.