摘要
目的分析甘肃省脑梗死病例慢性病的共病情况和组合模式,为脑梗死共病防治提供依据。方法纳入2020年1月1日―2020年12月31日甘肃省14个市州公立医院脑梗死出院病例84724例,对其基本人口学特征及共病史进行描述性分析,用UpSet集合图分析共病组合模式。结果84724例脑梗死病例中,男性占54.06%,病例年龄为(67.65±10.83)岁,60~<80岁病例最多,占65.51%;80.23%的脑梗死病例存在共病,共患1~2种慢性病占59.32%,共患2种以上的病例占20.91%;共病率最高的慢性病是高血压(53.69%);一元共病组合中最常见的是脑梗死+高血压(17.40%),二元共病组合中最常见的是脑梗死+高血压+心脏病(7.04%),三元共病组合中最常见的是脑梗死+高血压+心脏病+慢性肺部疾患(1.77%)。结论甘肃省脑梗死病例共病患病率较高,高血压是脑梗死共病风险最高的慢性病,建议卫生部门加强脑梗死共患慢性病的疾病管理。
Objective The aim of this study is to investigate the comorbidity conditions and pat⁃terns among discharged cerebral infarction patients in Gansu Province,providing a basis for the prevention and treatment of comorbidities related to cerebral infarction.Methods A total of 84724 patients with cere⁃bral infarction from 14 public hospitals in Gansu Province were enrolled between January 1,2020,and De⁃cember 31,2020.Basic demographic characteristics and comorbidities history were descriptively analyzed,and the comorbidity models were examined using UpSet graph.Results Of the 84724 cerebral infarction patients,54.06%were male.The average age of patients was(67.65±10.83)years,with the majority of patients(65.51%)aged between 60 and 80 years.The prevalence of comorbidity was 80.23%,with 59.32%of patients presenting with one or two chronic diseases and 20.91%with more than two.Hyperten⁃sion was the most common comorbid chronic disease(53.69%).The most prevalent singular comorbidity model was cerebral infarction and hypertension(17.40%),the most common binary model was cerebral in⁃farction,hypertension,and heart disease(7.04%),and the most frequent ternary comorbidity model was cerebral infarction,hypertension,heart disease,and chronic lung disease(1.77%).Conclusions The prevalence of comorbidity among cerebral infarction patients in Gansu Province was relatively high,with hy⁃pertension being the most common comorbidity.Health⁃relevant departments should focus on strengthening the management of chronic diseases associated with cerebral infarction.
作者
何永梅
陈思璇
姚进文
高歆
陈永聪
HE Yongmei;CHEN Sixuan;YAO Jinwen;GAO Xin;CHEN Yongcong(Institute of Social Medicine and Health Management,School of Public Health,Lanzhou University,Lanzhou 730030,China;Center of Health Statistics Information,Health Commission of Gansu Province,Lanzhou 730030,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2023年第5期557-561,共5页
Chinese Journal of Disease Control & Prevention
基金
熵权TOPSIS法的甘肃省三级综合性公立医院绩效评价指标体系研究(GSWSKY2021-063)。
关键词
脑梗死
慢性病共病
共病模式
Cerebral infarction
Comorbidity
Comorbidity model
