2017-2021 年间一家三级转诊医院消化性溃疡的入院率和死亡率趋势。

IF 0.8 Q4 SURGERY Chirurgia Pub Date : 2024-08-01 DOI:10.21614/chirurgia.2923
Sergiu Marian Cazacu, Valeriu Marian Surlin, Ion Rogoveanu, Alexandru Goganau, Vlad Florin Iovanescu, Alexa Lorena Ghinea, Mircea Parscoveanu, Emil Moraru, Alexandru-Marian Vieru, Dan Cartu
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引用次数: 0

摘要

背景:在过去几十年中,消化性溃疡的发病率有所下降;COVID-19大流行可能对消化性溃疡的住院率产生了影响。本研究旨在评估复杂性和非复杂性消化性溃疡的入院率和死亡率,以及大流行期间的影响。材料和方法:我们在一家三级学术中心开展了一项观察性研究,纳入了 2017-2021 年间因消化性溃疡入院的所有患者。我们评估了复杂性溃疡和非复杂性溃疡的入院情况以及死亡率的风险因素。结果如下共收治了1416名消化性溃疡患者,其中胃溃疡和十二指肠溃疡的比例相当;大多数患者因出血(66.7%)和穿孔(17.3%)入院。我们注意到,在 2020-2021 年期间,消化性出血性溃疡(PUB)和无并发症溃疡的入院率呈下降趋势,而穿孔的入院率则没有明显变化;从 2017 年到 2020 年,消化性出血性溃疡的死亡率呈下降趋势。在大流行期间,消化性溃疡出血入院人数减少了 36.6%;死亡率与此类似。消化性溃疡穿孔入院人数减少了 14.4%,大流行期间的死亡率较高(16.83% 对 6.73%)。结论PUB 的入院人数呈下降趋势,但穿孔性溃疡的入院人数并未下降。在大流行期间,PUB 的入院人数减少了 1/3 以上,但死亡率却相差无几。在大流行期间,消化性溃疡穿孔入院人数减少了 1/7,但死亡率却明显较高。
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Trends for Admission and Mortality in Peptic Ulcers at a Tertiary Referral Hospital During the 2017-2021 Period.

Background: The incidence of peptic ulcers has decreased during the last decades; the COVID-19 pandemic may have influenced the peptic ulcer hospitalizations. The study aimed to assess the admissions and mortality for complicated and uncomplicated peptic ulcers and the influence of the pandemic period. Material and Methods: We performed an observational study at a tertiary academic center, including all patients admitted for peptic ulcers between 2017-2021. We evaluated the admissions for complicated and uncomplicated ulcers and risk factors for mortality. Results: 1416 peptic ulcers were admitted, with an equal proportion of gastric and duodenal ulcers; most patients were admitted for bleeding (66.7%), and perforation (17.3%). We noted a decreasing trend for peptic bleeding ulcer (PUB) and uncomplicated ulcer admissions during 2020-2021, while for perforation no significant variation was recorded; a decreasing mortality in PUB was noted from 2017 to 2020. Admissions for bleeding peptic ulcer have decreased by 36.6% during the pandemic period; the mortality rate was similar. Admissions for perforated peptic ulcer have decreased by 14.4%, with a higher mortality rate during the pandemic period (16.83 versus 6.73%). Conclusion: A decreasing trend for PUB admissions but not for perforated ulcers was noted. Admissions for PUB have decreased by more than 1/3 during the pandemic period, with a similar mortality rate. Admissions for perforated peptic ulcers have decreased by 1/7, with significantly higher mortality rates during the pandemic period.

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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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