PERIPHERAL ARTERIAL OCCLUSIVE DISEASE OF THE EXTREMITIES IN THE UNITED-STATES - HOSPITALIZATION AND MORTALITY
PERIPHERAL ARTERIAL OCCLUSIVE DISEASE OF THE EXTREMITIES IN THE UNITED-STATES - HOSPITALIZATION AND MORTALITY
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DOI：
10.1016/0002-8703(90)90257-x
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发表时间：
1990-12-01
影响因子：
4.8
通讯作者：
GILLUM, RF
中科院分区：
文献类型：
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作者：
GILLUM, RF
PAODE是老年人发病率和医疗保健支出的一个重要原因。来自NHDS和国家生命统计系统的数据被用来评估其在美国的影响。在1985年至1987年，估计每年有22.9万男性和18.4万女性因任何慢性PAODE诊断而出院。男性的出院率要高得多，并随着年龄的增长而急剧增加。在8.8万例住院患者中进行了下肢动脉造影，每年在3.1万例住院患者中进行了髂-股动脉旁路手术。自1979年以来，手术数量显著增加。估计每年有6万名男性和5万名女性因急性PAODE诊断而出院。下肢动脉的栓子切除术或血栓切除术被列为每年2.8万例出院。PAODE导致的死亡很少。虽然这些数据受到可能不完整的报告和诊断代码的非特异性的限制，但它们提供了问题严重性的指示。人口老龄化和手术技术的进步建议使用多个数据源进行持续监测。积极的一级预防计划是必要的，以减轻所有动脉粥样硬化疾病的影响。
PAODE is an important cause of morbidity and health care expenditures among the elderly. Data from the NHDS and National Vital Statistics System were used to assess its impact in the U.S. In 1985 to 1987, an estimated 229 thousand men and 184 thousand women per year were discharged with any diagnosis of chronic PAODE. Discharge rates were much higher in men and increased sharply with age. Lower extremity arteriography was performed during 88 thousand hospitalizations and aorta-iliac-femoral bypass procedures were done during 31 thousand hospitalizations per year. Numbers of procedures increased markedly since 1979. An estimated 60 thousand men and 50 thousand women per year were discharged with any diagnosis of acute PAODE. Embolectomy or thrombectomy of lower limb arteries was listed for 28 thousand discharges per year. Few deaths were attributed to PAODE. Although these data are limited by likely incomplete reporting and by the nonspecificity of diagnostic codes, they provide an indication of the magnitude of the problem. An aging population and advances in surgical techniques suggest continued monitoring using multiple data sources. Vigorous primary prevention programs are needed to lessen the impact of all atherosclerotic diseases.