Hospitalizations for Chronic Pancreatitis in Allegheny County, Pennsylvania, USA
Hospitalizations for Chronic Pancreatitis in Allegheny County, Pennsylvania, USA
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DOI：
10.1159/000331498
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发表时间：
2011-01-01
期刊：
影响因子：
3.6
通讯作者：
O'Connell, Michael
中科院分区：
文献类型：
--
作者：
Yadav, Dhiraj;Muddana, Venkata;O'Connell, Michael
背景/目的：基于人群的慢性胰腺炎（CP）的估计是稀缺的。我们确定了美国宾夕法尼亚州阿勒格尼县的CP住院率和胰腺炎相关再入院的风险。研究方法：我们使用宾夕法尼亚州卫生保健成本控制理事会（PHC 4）数据集，以确定所有独特的白色和黑色阿勒格尼县居民与事件住院的CP从1996年至2005年。我们注意到存在酒精中毒代码（从索引住院前一年到最后一次联系）和胰腺炎相关的再入院，直到2007年第三季度。计算了年龄、性别和种族校正（根据美国2000年人口）的发生率/100，000。结果：确定了988名因CP事件住院的独特县居民。其中，37.6%的人还收到了酗酒代码。总体住院率为7.75/100，000（95% CI 7.26-8.24），在整个研究期间保持稳定。酒精中毒代码的患者明显更年轻（47.2 vs. 58.0岁），更可能是男性（71.4 vs. 36.6%）和黑人（38.5 vs. 17.7%）。黑人（与白人相比）的住院率显著较高（2.4倍），特别是那些有酗酒代码的人。在随访期间（平均45个月），胰腺炎相关的再入院是常见的，酒精中毒代码的患者更是如此。结论：CP住院率在一个十年期内是稳定的。诊断为酗酒的患者再次入院率最高。版权所有（C）2011 S. Karger AG、巴塞尔和IAP
Background/Aims: Population-based estimates for chronic pancreatitis (CP) are scarce. We determined incident CP hospitalization rates and the risk of pancreatitis-related readmissions in Allegheny County, Pennsylvania, USA. Methods: We used Pennsylvania Health Care Cost Containment Council (PHC4) dataset to identify all unique White and Black Allegheny County residents with incident hospitalization for CP from years 1996-2005. We noted presence of alcoholism codes (from one year before index hospitalization until last contact) and pancreatitis-related readmissions until the third quarter of 2007. Age-, sex-, and race-adjusted (to US 2000 population) rates/100,000 were calculated. Results: 988 unique County residents with incident hospitalization for CP were identified. Of these, 37.6% also received alcoholism codes. Overall hospitalization rate was 7.75/100,000 (95% CI 7.26-8.24), which remained stable throughout the study period. Patients with alcoholism codes were significantly younger (47.2 vs. 58.0 years), more likely to be male (71.4 vs. 36.6%), and Black (38.5 vs. 17.7%). Hospitalization rates were significantly higher (2.4-fold) in Blacks (vs. Whites), particularly for those with alcoholism codes. During follow-up (median 45 months), pancreatitis-related readmissions were common, significantly more so for patients with alcoholism codes. Conclusions: CP hospitalization rates over a one-de-cade period were stable. Readmissions were highest among patients with a diagnosis of alcoholism. Copyright (C) 2011 S. Karger AG, Basel and IAP