Incidence of aspiration pneumonia during hospitalization in Japanese hospitalized cases did not increase whereas concern factors were exacerbated in a time-dependent manner: analysis of Diagnosis Procedure Combination (DPC) data.
Incidence of aspiration pneumonia during hospitalization in Japanese hospitalized cases did not increase whereas concern factors were exacerbated in a time-dependent manner: analysis of Diagnosis Procedure Combination (DPC) data.
复制标题
DOI：
10.3164/jcbn.17-119
复制
发表时间：
2018-07
影响因子：
2.4
通讯作者：
Fujimoto K
中科院分区：
文献类型：
--
作者：
Nonaka S;Fujii S;Hara M;Morita S;Sueoka E;Node K;Fujimoto K
本研究旨在i）调查使用诊断程序组合数据评估的病例中与住院期间吸入性肺炎高度相关的项目，ii）确定住院期间吸入性肺炎的关注因素是否随时间的趋势而加重。收集了2010年至2015年佐贺大学医院的63，390例诊断程序组合数据。比较两个时间段（2010 - 2012年和2013 - 2015年）住院期间吸入性肺炎关注因素的发生情况。关注因素包括：男性、年龄、入院时和住院期间的吞咽困难、在急诊室或高级监护病房的使用和天数、重症监护病房的使用和救护车的使用。年龄、吞咽困难和重症监护室的使用随时间加重。2010 - 2012年和2013 - 2015年住院病例住院期间吸入性肺炎的发生率没有差异。2013 - 2015年，住院期间并发手术的吸入性肺炎和急诊室或高级护理病房的天数减少。尽管住院期间吸入性肺炎的关注增加，但住院期间吸入性肺炎的并发症发生率并未增加。
This study aimed i) to investigate about items with high relevance for aspiration pneumonia during hospitalization among cases evaluated using Diagnosis Procedure Combination data, and ii) to determine whether the concern factors for aspiration pneumonia during hospitalization were exacerbated with the trend of the time. The Diagnosis Procedure Combination data were gathered from 2010 through to 2015 with 63,390 cases at Saga University Hospital. The occurrence of concern factors of aspiration pneumonia during hospitalization were compared in the two time periods set (2010–2012 and 2013–2015). The concern factors included: male, age, dysphagia at admission and during hospitalization, use and days in the emergency care unit or high care unit, use of the intensive care unit, and use of an ambulance. Age, dysphagia, and use of the intensive care unit were time-dependently exacerbated. The incidence of aspiration pneumonia during hospitalization in hospitalized cases did not differ between years 2010–2012 and 2013–2015. Aspiration pneumonia during hospitalization complicated with surgery and number days in the emergency care unit or high care unit diminished in years 2013–2015. Despite an increased concern of aspiration pneumonia during hospitalization, the complication rate of aspiration pneumonia during hospitalization did not increase.