日本老年人的季节性流感负担及其潜在并发症:真实世界数据库研究

IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES
Takeshi Arashiro, Yuki Tajima, Yohei Ban, Matthew M. Loiacono, Masayo Ideguchi, Caroline de Courville
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引用次数: 0

摘要

背景:季节性流感可能会导致严重的并发症,包括呼吸道疾病和心血管疾病,从而导致大量的医疗资源使用(HCRU)和死亡,尤其是在老年人中。这项真实世界研究评估了流感及其潜在并发症给日本老年人带来的负担:这项回顾性索赔数据库分析(2015 年 4 月至 2019 年 6 月)纳入了日本连续四个流感季节(10 月 1 日至 4 月 30 日)开始时年龄≥ 60 岁的投保人。主要终点是与流感相关的急诊室(ER)和门诊就诊率、住院率、30天住院患者死亡概率以及流感或其潜在并发症的60天医疗费用:在 8,974,708 人(43.2% 为男性,平均 ± 标准差年龄为 73.8 ± 8.9 岁)中,370,430 人(4.13%)被诊断出患有流感。总体而言,每 10 万人中分别有 17.18 人(95% 置信区间 [CI] 16.32-18.04)和 3893.53 人(3880.87-3906.19)因流感到急诊室就诊和门诊就诊,每 10 万人中有 181.50 人(178.71-184.28)因流感住院治疗。与流感相关的急诊就诊率和因流感或潜在并发症住院的发生率以及30天住院死亡率随年龄的增长而增加:结论:季节性流感及其潜在并发症对日本人造成的巨大负担会随着年龄的增长而增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Burden of Seasonal Influenza and Its Potential Complications Among Older Japanese Adults: A Real-World Database Study

The Burden of Seasonal Influenza and Its Potential Complications Among Older Japanese Adults: A Real-World Database Study

Background

Seasonal influenza may lead to severe complications, including respiratory and cardiovascular disease, that result in considerable healthcare resource utilization (HCRU) and mortality, particularly in older individuals. This real-world study assessed the burden of influenza and its potential complications in older Japanese adults.

Methods

This retrospective claims database analysis (April 2015 to June 2019) included insured individuals aged ≥ 60 years at the start of four consecutive influenza seasons in Japan (October 1 to April 30). The primary endpoint was the incidence of influenza-related emergency room (ER) and outpatient visits, the incidence of hospitalizations, the probability of 30-day inpatient mortality, and 60-day medical costs of influenza or its potential complications.

Results

Of 8,974,708 individuals (43.2% male, mean ± standard deviation age 73.8 ± 8.9 years), 370,430 (4.13%) were diagnosed with influenza. Overall, 17.18 (95% confidence interval [CI] 16.32–18.04) and 3893.53 (3880.87–3906.19) per 100,000 individuals had influenza-related ER and outpatient visits, respectively, and 181.50 (178.71–184.28) per 100,000 individuals were hospitalized for influenza. The incidence of influenza-related ER visits and hospitalizations for influenza or potential complications and the probability of 30-day inpatient mortality increased with age.

Conclusions

Seasonal influenza and its potential complications represent a substantial burden that increases with age in Japanese individuals.

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来源期刊
CiteScore
7.20
自引率
4.50%
发文量
120
审稿时长
6-12 weeks
期刊介绍: Influenza and Other Respiratory Viruses is the official journal of the International Society of Influenza and Other Respiratory Virus Diseases - an independent scientific professional society - dedicated to promoting the prevention, detection, treatment, and control of influenza and other respiratory virus diseases. Influenza and Other Respiratory Viruses is an Open Access journal. Copyright on any research article published by Influenza and Other Respiratory Viruses is retained by the author(s). Authors grant Wiley a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified.
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