基于医疗机构就诊电子信息系统分析2015年北京3个区带状疱疹发病和住院情况

Analysis of herpes zoster incidence and hospitalization in three areas of Beijing in 2015 based on health information system of medical institutions

目的基于医疗机构医疗机构病例就诊电子信息系统(HIS)数据研究北京市3个区带状疱疹的发病和住院情况。方法根据北京市不同经济发展水平和地理特征,选择西城、昌平和密云区全部110家一级及以上医疗机构为研究场所,利用HIS系统回顾性普查2015年全年带状疱疹门诊和住院病例。经查重后筛选出首次就诊门诊和住院病例,以首次就诊门诊病例为分子,研究区域常住人口为分母,估算年发病率;以首次住院病例为分子,研究区域常住人口为分母,估算年住院率。结果首次就诊门诊病例为32 313例,女性为18 360例(56.8%),≥50岁者为20 923例(64.8%)。3个区的估算年发病率为8.8‰,发病率随着年龄增高而增高,≥80岁最高,为30.5‰;西城、昌平和密云区年发病率分别为16.2‰、4.0‰和5.7‰。首次住院病例为701例,女性为366例(52.2%),≥50岁者为651例(92.9%)。3个区的估算年住院率为19.4/10万,其中主要诊断和次要诊断住院率分别为5.9/10万(212例)和13.5/10万(489例)。次要诊断的住院原因依次为心血管疾病(19.0%,93例),脑卒中(14.5%,71例),肺炎/慢性阻塞性肺疾病(14.1%,69例),肿瘤(12.5%,61例),糖尿病(5.7%,28例)。结论北京市带状疱疹发病人群以≥50岁者为主,女性发病率略高于男性。该病应成为重点关注的公共卫生问题。

Objective Using data of health information system (HIS) of medical institutions to study the incidence and hospitalization of herpes zoster in three districts of Beijing.Methods According to the different level of economic development and geographical features in Beijing,3 districts of Xicheng,Changping and Miyun were chosen and all 110 medical institutions of the first level and above in the 3 districts are included in the survey.All the outpatient and inpatient herpes zoster cases in 2015 were retrospectively reviewed by HIS system.After distinguishing the reduplicated cases,Using the first outpatient case as a molecule and the resident population as denominator to estimate the annual incidence rate,as well as the annual hospitalization rate was estimated based on primary diagnostic hospitalized cases as molecule and the resident population as denominator.Results A total of 32 313 primary visit outpatient cases were investigated,of which 18 360 cases (56.8%) were women and 20 923 cases (64.8%) were ≥50 years old.The overall estimated incidence of the 3 districts was 8.8‰ with an increase trends with age and reached to the highest in ≥80 years old (30.5/1 000).The incidence of Xicheng,Changping and Miyun districts are respectively 16.2‰,4.0‰ and 5.7‰.A total of 701 primary visit inpatient cases were identified,of which 366 cases (52.2%) were women and 651 cases (92.9%) were ≥50 years old.The estimated annual hospitalization rate was 19.4/100 000,with the primary and secondary diagnostic hospitalization rate are respectively 5.9/100 000 (212 cases) and 13.5/100 000 (489 cases).The disease types of secondary diagnostic inpatient herpes zoster cases were as follows: cardiovascular disease (19.0%,93 cases),stroke (14.5%,71 cases),pneumonia/chronic obstructive pulmonary disease (14.1%,69 cases),tumor (12.5%,61 cases) and diabetes (5.7%,28 cases).Conclusion Most of the herpes zoster cases in Beijing are over 50 years old,and the incidence of female is slightly higher than male.This disease should become a public health issue of great concern.