TUBERCULOSIS DIAGNOSED AT DEATH IN THE UNITED-STATES
TUBERCULOSIS DIAGNOSED AT DEATH IN THE UNITED-STATES
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DOI：
10.1378/chest.100.3.678
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发表时间：
1991-09-01
期刊：
影响因子：
9.6
通讯作者：
SNIDER, DE
中科院分区：
文献类型：
--
作者：
RIEDER, HL;KELLY, GD;SNIDER, DE
从1985年到1988年，美国报告的结核病病例中有5.1%是在死亡时被诊断出来的。按种族/民族、性别和出生地(美国和外国出生)诊断的死亡比例差异相对较小。死亡病例的比例随着年龄的增长而增加，从5岁以下患者的0.7%上升到85岁及以上患者的18.6%。被诊断为活着的病例中，只有26.0%是65岁及以上的人，但死亡时被诊断为死亡的人中，有60.3%属于这一年龄段。18%的粟粒结核、脑膜结核和腹膜结核患者在死亡时被诊断出来，相比之下，肺结核病患者的这一比例为4.8%。这些数据表明，结核病往往仍未被发现，为了防止这种可治愈的疾病继续导致死亡，高度怀疑结核病仍然很重要，特别是在老年人和有肺外疾病部位的人中。
From 1985 through 1988, 5.1 percent of TB cases reported in the United States were diagnosed at death. Differences in the proportions diagnosed at death by race/ethnicity, sex, and place of birth (United States vs foreign-born) were relatively small. The proportion of cases diagnosed at death increased with age, from 0.7 percent in patients less than 5 years old to 18.6 percent among patients 85 years and older. Only 26.0 percent of cases diagnosed alive were among those 65 years and older, but 60.3 percent of those diagnosed at death were in this age group. Eighteen percent of cases with miliary, meningeal and peritoneal TB were diagnosed at death, compared with 4.8 percent among those with pulmonary TB. These data indicate that TB too often remains unrecognized and that, to prevent continuing deaths from this curable disease, a high index of suspicion of TB remains important, particularly among the elderly and among persons with extrapulmonary sites of disease.