Incidence of GP-diagnosed respiratory tract infections according to age, gender and high-risk co-morbidity: the Second Dutch National Survey of General Practice
Incidence of GP-diagnosed respiratory tract infections according to age, gender and high-risk co-morbidity: the Second Dutch National Survey of General Practice
复制标题
DOI：
10.1093/fampra/cmi121
复制
发表时间：
2006-06-01
期刊：
影响因子：
2.2
通讯作者：
Verheij, T. J. M.
中科院分区：
文献类型：
--
作者：
Hak, E.;Rovers, M. M.;Verheij, T. J. M.
背景。由于人口变化和共存疾病的增加、呼吸道疫苗接种计划和疾病行为的变化，全科医生诊断的呼吸道感染 (RTI) 数据已经过时。 目标。根据年龄、性别和初级保健中常见的高危合并症确定就诊的患者的 RTI 发生率。方法。在第二次荷兰全国全科医疗调查中，90 个计算机化全科医疗机构涉及 358 008 名患者，使用 ICPC 编码系统记录了一年内所有连续的患者接触情况。使用年中人口作为分母并使用 RTI 事件作为提名来计算发病率。结果。总共有 4.2% 的患者被诊断患有 RTI，发病率为每 1000 人年 144 例。 0-4 岁儿童的高 RTI 比其他年龄段的儿童更常见 [每 1000 人中有 392 人对 80 人；相对风险 4.9，95% 置信区间 (95% CI) 4.8-5.0]。在年龄和较低的 RTI 之间观察到 U 形关联（儿童和 75 岁或以上的人分别为每 1000 人 78 人和 70 人，而其他年龄组为每 1000 人 23 人）。女性的 URTI 发病率略高（相对风险 1.4，95% CI 1.35-1.45），而 LRTI 的发病率相似。患有肺病、心脏病和糖尿病等慢性病的患者。讨论。一小部分患者向全科医生进行了 RTI 自我介绍。 RTI 在儿童、老年人以及 ICPC 编码系统的肺病、心脏病和糖尿病患者中更为常见。
Background. Figures on GP-diagnosed respiratory tract infections (RTI) are outdated because of demographic changes and increase in co-morbid conditions, respiratory vaccination programmes and change in illness behaviour.Objective. To determine the incidence of RTI in patients presenting to the GP according to age, gender and common high-risk co-morbidity in primary care.Methods. In the Second Dutch National Survey of General Practice 90 computerized general practices with 358 008 patients recorded all consecutive patient contact by use of the ICPC coding system in a year. Incidences were calculated using the mid-year population in the denominator and RTI episodes as the nominator.Results. In all, 4.2% of the patient population were diagnosed with RTI with an incidence rate of 144 per 1000 person-years. Upper RTI were more common in children of 0-4 years than in other year-cohorts [392 versus 80 per 1000; relative risk 4.9, 95% confidence interval (95% CI) 4.8-5.0]. An U-shape association was observed between age and lower RTI (78 and 70 per 1000 in children and persons aged 75 years or over, respectively, versus 23 per 1000 in other age-categories). Females had slightly higher incidence rates of URTI (relative risk 1.4, 95% CI 1.35-1.45) and similar rates for LRTI. Patients with chronic medical conditions as pulmonary and cardiac disease, and diabetes.Discussion. A small proportion of the patient population present themselves to the GP with a RTI. RTI are more common among children, elderly persons and patients with pulmonary and cardiac disease, and diabetes of the ICPC coding system.