Trends in the incidence of noncardiogenic acute respiratory failure: the role of race.
Trends in the incidence of noncardiogenic acute respiratory failure: the role of race.
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DOI：
10.1097/ccm.0b013e31824518f2
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发表时间：
2012-05
影响因子：
8.8
通讯作者：
Martin GS
中科院分区：
文献类型：
--
作者：
Cooke CR;Erickson SE;Eisner MD;Martin GS
我们试图研究美国种族特异性急性呼吸衰竭发病率的趋势。回顾性队列研究。我们使用了国家医院出院调查（NHDS）数据库（1992-2007），这是一项对大约500家医院进行加权的年度调查，以提供国家住院估计。所有在美国住院的非心源性急性呼吸衰竭病例。无我们通过ICD-9编码呼吸衰竭或肺水肿（518. 4、518. 5、518. 81、518. 82）和机械通气（96. 7 x）（不包括充血性心力衰竭）来识别非心源性急性呼吸衰竭。发病率的计算采用了按2000年人口普查人口年龄和性别分布标准化的年度人口普查估计数。非心源性急性呼吸衰竭的年度病例从1992年的86 755例增加到2007年的323 474例。1992年和2007年，美国黑人中的非心源性急性呼吸衰竭病例数分别从每10万人56.4例（95%CI 39.7 - 73.1）增至143.8例（95%CI 123.8 - 163.8）。在美国白色人群中，1992年和2007年非心源性急性呼吸衰竭的发生率分别从31.2（95%CI 26.2-36.5）例/100，000例增加至94.0（95%CI 86.7 - 101.2）例/100，000例。在整个研究期间，非心源性急性呼吸衰竭的平均年发病率为95.1（95% CI 93.9 - 96.4）例/100，000例，而白色美国人为66.5例/100，000例（95% CI 65.8 - 67.2）例/100，000例（率比= 1.43，95% CI 1.42-1.44）。其他种族美国人的总体住院死亡率较高，但仅在≥ 2个器官衰竭的患者中较高（其他种族为57% [95% CI 56-59%]，白色为51% [95% CI，50-52%]，黑人为50% [95% CI，49-51%]）。1992年至2007年，美国非心源性急性呼吸衰竭的发病率增加。与白色美国人相比，黑人和其他种族的美国人发生非心源性急性呼吸衰竭的风险更大。
We sought to examine trends in the race-specific incidence of acute respiratory failure in the United States. Retrospective cohort study. We used the National Hospital Discharge Survey (NHDS) database (1992-2007), an annual survey of approximately 500 hospitals weighted to provide national hospitalization estimates. All incident cases of noncardiogenic acute respiratory failure hospitalized in the United States. None We identified noncardiogenic acute respiratory failure by the presence of ICD–9 codes for respiratory failure or pulmonary edema (518.4, 518.5, 518.81, 518.82) and mechanical ventilation (96.7x), excluding congestive heart failure. Incidence rates were calculated using yearly census estimates standardized to the age and sex distribution of the 2000 census population. Annual cases of noncardiogenic acute respiratory failure increased from 86,755 in 1992 to 323,474 in 2007. Noncardiogenic acute respiratory failure among black Americans increased from 56.4 (95% CI 39.7 – 73.1) to 143.8 (95% CI 123.8 – 163.8) cases per 100,000 in 1992 and 2007, respectively. Among white Americans, the incidence of noncardiogenic acute respiratory failure increased from 31.2 (95% CI 26.2-36.5) to 94.0 (95% CI 86.7 – 101.2) cases per 100,000 in 1992 and 2007, respectively. The average annual incidence of noncardiogenic acute respiratory failure over the entire study period was 95.1 (95% CI 93.9 – 96.4) cases per 100,000 for black Americans compared to 66.5 (95% CI 65.8 – 67.2) cases per 100,000 for white Americans (rate ratio = 1.43, 95% CI 1.42-1.44). Overall in–hospital mortality was greater for other-race Americans, but only among patients with ≥ 2 organ failures (57% [95% CI 56-59%] for other-race, 51% [95% CI, 50-52%] for white, 50% [95% CI, 49-51%] for black). The incidence of noncardiogenic acute respiratory failure in the United States increased between 1992 and 2007. Black and other-race Americans are at greater risk of developing noncardiogenic acute respiratory failure compared to white Americans.