Age, period and cohort processes in chronic obstructive pulmonary disease related emergency department visit rate in Taiwan, 2001–2015

IF 4 3区医学 Q1 INFECTIOUS DISEASES Journal of Infection and Public Health Pub Date : 2025-01-08 DOI:10.1016/j.jiph.2025.102658

I.-Shiang Tzeng , Wan-Chung Hu , Chih-Wei Wu , Meng-Yu Wu , Giou-Teng Yiang , Po-Chun Hsieh , Wen-Lin Su

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Abstract

Purpose

Emergency room (ER) physicians must deal with patients with clinically suspected symptoms, such as dyspnea, cough, and increased sputum production, on the frontlines of medical care if patients present with severe chronic obstructive pulmonary disease (COPD). This study aims to investigate the longitudinal tendencies of COPD-related ER visits.

Patients and methods

A total of 360,313 patients were included in this study. The COPD-related ER visit rates between 2001 and 2015 were categorized using the International Classification of Disease (ICD) codes (496). The effects of age, period, and cohort on COPD-related ER visit rates were determined using an age-period-cohort (APC) model.

Results

Age was associated with a high risk of COPD in the pediatric and older populations. A significant increase was observed in the period effect, from 2001 to 2015. The cohort effect tended to oscillate from 1918 to 1973, and was reversed in the latest cohort. Furthermore, the COPD-related ER visit rate increased between 2001 and 2015 in both men and women.

Conclusion

Age, period, and cohort were observed to increase COPD visit rates. The APC model can be used to determine trends in COPD-related ER visits.

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2001-2015年台湾慢性阻塞性肺疾病相关急诊科就诊率的年龄、时期和队列过程

目的：如果患者患有严重慢性阻塞性肺疾病（COPD），急诊室（ER）医生必须在医疗护理的第一线处理临床疑似症状，如呼吸困难、咳嗽和痰量增加。本研究旨在探讨copd相关急诊就诊的纵向趋势。患者和方法：本研究共纳入360313例患者。使用国际疾病分类（ICD）代码（496）对2001年至2015年期间与copd相关的急诊就诊率进行分类。使用年龄-时期-队列（APC）模型确定年龄、时期和队列对copd相关急诊室就诊率的影响。结果：儿童和老年人群中年龄与COPD的高风险相关。从2001年到2015年，期间效应显著增加。从1918年到1973年，队列效应趋于振荡，在最近的队列中被逆转。此外，2001年至2015年期间，男性和女性与copd相关的急诊室就诊率均有所增加。结论：观察到年龄、时期和队列增加COPD就诊率。APC模型可用于确定copd相关急诊就诊的趋势。

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

Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES

CiteScore

13.10

自引率

1.50%

发文量

203

审稿时长

96 days

期刊介绍： The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.