日本全国因消化道出血住院的趋势。

IF 2 4区 医学 Q3 NUTRITION & DIETETICS
Journal of Clinical Biochemistry and Nutrition Pub Date : 2024-07-01 Epub Date: 2024-02-28 DOI:10.3164/jcbn.23-111
Chikamasa Ichita, Tadahiro Goto, Akiko Sasaki, Sayuri Shimizu
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引用次数: 0

摘要

消化道出血(GIB)是一个重大的公共卫生问题,主要与高发病率有关。然而,目前还没有使用全国数据调查日本 GIB 趋势的报告。本研究旨在通过评估日本的全国数据,确定 GIB 管理的当前趋势和问题。我们分析了 2012 年至 2019 年的国家数据库抽样数据,评估了主要六种类型 GIB 的年度住院率,包括出血性胃溃疡、十二指肠溃疡、食管静脉曲张出血、结肠憩室出血、缺血性结肠炎和直肠溃疡。在这项研究中,每 10 万人的住院率显示出血性胃溃疡的住院率明显下降,从 41.5 例下降到 27.9 例,降幅约为三分之二,而结肠憩室出血的住院率则增加了一倍多,从 15.1 例上升到 34.0 例。缺血性结肠炎的发病率增加了 1.6 倍,从 20.8 增至 34.9。2017 年,每 10 万人中结肠憩室出血和缺血性结肠炎的住院率超过了出血性胃溃疡(分别为 31.1、31.3 和 31.0)。十二指肠溃疡、食管静脉曲张出血或直肠溃疡的发病率没有明显变化。这项研究的结果强调了2017年住院频率从上消化道大出血向下消化道大出血的关键性转变,表明临床重点和资源分配可能发生变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
National trends in hospitalizations for gastrointestinal bleeding in Japan.

Gastrointestinal bleeding (GIB) is a significant public health concern, predominantly associated with high morbidity. However, there have been no reports investigating the trends of GIB in Japan using nationwide data. This study aims to identify current trends and issues in the management of GIB by assessing Japan's national data. We analyzed National Database sampling data from 2012 to 2019, evaluating annual hospitalization rates for major six types of GIB including hemorrhagic gastric ulcers, duodenal ulcers, esophageal variceal bleeding, colonic diverticular bleeding, ischemic colitis, and rectal ulcers. In this study, hospitalization rates per 100,000 indicated a marked decline in hemorrhagic gastric ulcers, approximately two-thirds from 41.5 to 27.9, whereas rates for colonic diverticular bleeding more than doubled, escalating from 15.1 to 34.0. Ischemic colitis rates increased 1.6 times, from 20.8 to 34.9. In 2017, the hospitalization rate per 100,000 for colonic diverticular bleeding and ischemic colitis surpassed those for hemorrhagic gastric ulcers (31.1, 31.3, and 31.0, respectively). No significant changes were observed for duodenal ulcers, esophageal variceal bleeding, or rectal ulcers. The findings of this study underscore a pivotal shift in hospitalization frequencies from upper GIB to lower GIB in 2017, indicating a potential shift in clinical focus and resource allocation.

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来源期刊
CiteScore
4.30
自引率
8.30%
发文量
57
审稿时长
6-12 weeks
期刊介绍: Journal of Clinical Biochemistry and Nutrition (JCBN) is an international, interdisciplinary publication encompassing chemical, biochemical, physiological, pathological, toxicological and medical approaches to research on lipid peroxidation, free radicals, oxidative stress and nutrition. The Journal welcomes original contributions dealing with all aspects of clinical biochemistry and clinical nutrition including both in vitro and in vivo studies.
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