Epidemiology of Hirschsprung disease in California from 1995 to 2013.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2018-12-01 Epub Date: 2018-10-15 DOI:10.1007/s00383-018-4363-9

Jamie E Anderson, Melissa A Vanover, Payam Saadai, Rebecca A Stark, Jacob T Stephenson, Shinjiro Hirose

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引用次数: 22

Abstract

Purpose: This study seeks to update current epidemiology of Hirschsprung disease (HD) in California.

Methods: Using data from the California Office of Statewide Health Planning and Development Linked Birth (1995-2012) and Patient Discharge Databases (1995-2013), patients from either dataset with an ICD-9 diagnosis code of HD (751.3) or procedure code of Soave (48.41), Duhamel (48.65), or Swenson/other pull-through (48.49) were included. Patients > age 18 during their first admission were excluded.

Results: Of 9.3 million births, 2,464 patients were identified. Incidence was 2.2 cases/10,000 live births, with rates peaking at 2.9/10,000 births in 2002. Incidence was highest among African American (4.1/10,000) and Asian/Pacific Islander (2.5/10,000) births. Most were male (n = 1652, 67.1%). Sixty patients (2.4%) had Down syndrome. The median gestational age at birth was 38 weeks 6 days (interquartile range [IQR] 37 weeks 1 day-40 weeks 1 day). Mortality during the first year of life was 1.7%. Median age at death was 14.5 days (IQR 0-113 days).

Conclusion: This is one of the largest population-based studies of HD. In California, the incidence of HD is stable, risk is highest among African American children, and the mortality rate is < 2%.

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1995 - 2013年加州巨结肠病流行病学研究。

目的:本研究旨在更新加州巨结肠病(HD)的流行病学现状。方法:使用加州全州健康计划与发展办公室关联出生(1995-2012)和患者出院数据库(1995-2013)的数据，纳入来自ICD-9诊断代码为HD(751.3)或程序代码为Soave(48.41)、Duhamel(48.65)或Swenson/其他拉通(48.49)的数据集的患者。排除首次入院时年龄> 18岁的患者。结果:在930万名新生儿中，有2464名患者被确定。发病率为每10 000例活产2.2例，2002年最高为每10 000例活产2.9例。发病率最高的是非裔美国人(4.1/10,000)和亚洲/太平洋岛民(2.5/10,000)。男性居多(n = 1652, 67.1%)。60例(2.4%)患有唐氏综合征。出生时中位胎龄为38周6天(四分位数差[IQR] 37周1天~ 40周1天)。出生第一年的死亡率为1.7%。死亡年龄中位数为14.5天(IQR 0-113天)。结论:这是HD最大的基于人群的研究之一。在加州，HD的发病率稳定，非裔美国儿童的风险最高，死亡率为

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor