Epidemiological Trends in Pediatric Urolithiasis at United States Freestanding Pediatric Hospitals
Epidemiological Trends in Pediatric Urolithiasis at United States Freestanding Pediatric Hospitals
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DOI：
10.1016/j.juro.2010.05.018
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发表时间：
2010-09-01
影响因子：
6.6
通讯作者：
Nelson, Caleb P.
中科院分区：
文献类型：
--
作者：
Routh, Jonathan C.;Graham, Dionne A.;Nelson, Caleb P.
摘要目的：民间报导指出小儿尿石症的发生率正在增加，但缺乏可靠的资料。本研究的目的是研究尿石症的流行病学在儿科hospitalsnationwide.Materials和Methods的趋势：儿科健康信息系统数据库是一个国家数据库，涵盖42个独立的美国儿科医院，捕获住院，急诊科和门诊手术访问。我们检索了儿科健康信息系统数据库，以确定1999年至2008年期间接受尿石症治疗的儿童（18岁或以下）。尿石症患者占每年每家医院就诊患者总数的比例。通过将结果与其他2种常见的儿科诊断阑尾炎和病毒性细支气管炎进行比较，验证了趋势。在儿科健康信息系统医院就诊的尿石症儿童总数从1999年的125人增加到2008年的1 389人。平均每家医院每年的结石病例数从13.9例增加到32.6例。与总住院患者相比，儿童尿石症患者的比例从1999年的18.4/10万增加到2008年的57.0/10万，调整后的年增长率为10.6%（p
Purpose: Anecdotal and lay press reports suggest that the incidence of pediatric urolithiasis is increasing but reliable data are lacking. The objective of this study was to examine trends in the epidemiology of urolithiasis at pediatric hospitals nationwide.Materials and Methods: The Pediatric Health Information System database is a national database covering 42 freestanding United States pediatric hospitals that captures inpatient admissions, and emergency department and outpatient surgery visits. We searched the Pediatric Health Information System database to identify children (18 years old or younger) treated for urolithiasis between 1999 and 2008. Patients with urolithiasis were measured as a proportion of the total number of patients seen per hospital annually. Trends were verified by comparing results to 2 other common pediatric diagnoses appendicitis and viral bronchiolitis.Results: We identified 7,921 children diagnosed with urolithiasis during the study period. The total number of children with urolithiasis seen in Pediatric Health Information System hospitals increased from 125 in 1999 to 1,389 in 2008. Mean number of stone cases per hospital per year increased from 13.9 to 32.6. Compared to total hospital patients, the proportion of patients with pediatric urolithiasis increased from 18.4 per 100,000 in 1999 to 57.0 per 100,000 in 2008, an adjusted annual increase of 10.6% (p