Epidemiologic features of Kawasaki disease in Japan: results of the 2007-2008 nationwide survey.

Epidemiologic features of Kawasaki disease in Japan: results of the 2007-2008 nationwide survey.
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DOI:
10.2188/jea.je20090180
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发表时间:
2010
影响因子:
4.7
通讯作者:
Yanagawa H
Yanagawa H
中科院分区:
医学3区
文献类型:
--
作者:
Nakamura Y;Yashiro M;Uehara R;Sadakane A;Chihara I;Aoyama Y;Kotani K;Yanagawa H

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川崎病(KD)的最新流行病学特征尚不清楚。第20次全国KD调查是在2009年进行的,调查对象包括2007-2008年间接受治疗的患者。儿科专科医院,以及设有儿科科室和100张以上床位的医院,被要求在两个调查年度报告所有KD患者。在总共1540个部门和医院中,报告了23337名患者(2007年11581人,2008年11756人):13523名男孩和9814名女孩。2007年和2008年0~4岁儿童年发病率分别为215.3/10万和218.6/10万。这是日本有记录以来最高的KD年发病率。每月的患者数量在冬季达到顶峰;夏季的增幅较小。年龄别发病率呈单峰分布,9~11个月为发病高峰。在婴儿和老年人群中,疾病急性期的心脏损害和心脏后遗症的患病率较高。在日本,KD的发病率和患者数量持续增加。
The most recent epidemiologic features of Kawasaki disease (KD) are unknown. The 20th nationwide survey of KD was conducted in 2009, and included patients treated for the disease in 2007 and 2008. Hospitals specializing in pediatrics, and hospitals with pediatric departments and 100 or more beds, were asked to report all patients with KD during the 2 survey years. From a total of 1540 departments and hospitals, 23 337 patients (11 581 in 2007 and 11 756 in 2008) were reported: 13 523 boys and 9814 girls. The annual incidence rates were 215.3 and 218.6 per 100 000 children aged 0–4 years in 2007 and 2008, respectively. These were the highest annual KD incidence rates ever recorded in Japan. The monthly number of patients peaked during the winter months; smaller increases were noted in the summer months. The age-specific incidence rate showed a monomodal distribution with a peak at age 9–11 months. The prevalences of both cardiac lesions during the acute phase of the disease and cardiac sequelae were higher among infants and older age groups. The incidence rate and number of patients with KD in Japan continue to increase.
DOI: 10.2188/jea.je2008001
发表时间: 2008
影响因子: 4.7
作者:
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影响因子: 4.7
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