Kawasaki syndrome hospitalizations among children in Hawaii and Connecticut
Kawasaki syndrome hospitalizations among children in Hawaii and Connecticut
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DOI：
10.1001/archpedi.154.8.804
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发表时间：
2000-08-01
影响因子：
--
通讯作者：
Schonberger, LB
中科院分区：
文献类型：
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作者：
Holman, RC;Shahriari, A;Schonberger, LB
目的：估计发病率和描述最近的趋势川崎综合征（KS）在2个不同地区的美国。方法：回顾性分析夏威夷和康涅狄格州KS医院出院记录的儿童年龄小于5 years.Results：在夏威夷。1994年至1997年期间，据报有175名5岁以下儿童在堪萨斯州住院;年住院率为每10万名儿童47.7人。夏威夷1岁以下儿童的发病率（83.2）高于1至4岁儿童（39.0），必须住院的儿童年龄小于2岁（中位年龄为17个月）。在康涅狄格州。1993年至1996年期间，报告了171例5岁以下儿童的KS住院;每10万儿童的年住院率为18.8，住院时的中位年龄为28个月。在这两个州，大多数住院的都是男孩。虽然没有明确的季节性是明显的，每月的高峰发生在一些年从12月到March.Conclusions：川崎综合征似乎仍然是一种地方病在美国。在夏威夷，尤其是1岁以下的儿童，KS年住院率较高，而在康涅狄格州，KS率与以前在美国大陆报道的更一致。
Objectives: To estimate the incidence and describe recent trends of Kawasaki syndrome (KS) in 2 different areas of the United States.Methods: Retrospective analysis of Hawaii and Connecticut State KS hospital discharge records for children younger than 5 years.Results: In Hawaii. 175 KS hospitalizations for children younger than 5 years were reported during 1994 through 1997; the annual hospitalization rate per 100 000 children was 47.7. The rate for Hawaiian children younger than 1 year (83.2) was greater than that for 1- to 4-year-old children (39.0), and must hospitalizations occurred prior to age 2 years (median age, 17 months). In Connecticut. 171 KS hospitalizations for children younger than 5 years were reported during 1993 through 1996; the annual hospitalization rate per 100 000 children was 18.8, and the median age at hospitalization was 28 months. For both states, most hospitalizations were for boys. Although no clear seasonality was apparent, monthly peaks occurred in some of the years from December through March.Conclusions: Kawasaki syndrome seems to remain an endemic disease in the United States. A high KS annual hospitalization rate was seen in Hawaii, especially in children younger than 1 year, whereas in Connecticut, the KS rate was more consistent with those previously reported in the continental United States.