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首页> 外文期刊>BMC Family Practice >Rhinosinusitis in morbidity registrations in Dutch General Practice: a retro-spective case-control study
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Rhinosinusitis in morbidity registrations in Dutch General Practice: a retro-spective case-control study

机译：荷兰普通科发病率登记中的鼻-鼻窦炎：回顾性病例对照研究

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Background There is only limited accurate data on the epidemiology of rhinosinusitis in primary care. This study was conducted to assess the incidence of acute and chronic rhinosinusitis by analysing data from two Dutch general practice registration projects. Several patient characteristics and diseases are related to the diagnosis rhinosinusitis. Methods The Continuous Morbidity Registration (CMR) and the Transitionproject (TP) are used to analyse the data on rhinosinusitis in primary practice. Both registries use codes to register diagnoses. Results In the CMR 3244 patients are registered with rhinosinusitis and in the TP 5424 CMR: The absolute incidence of (acute) rhinosinusitis is 5191 (18.8 per 1000 patient years). Regarding an odds ratio of 5.58, having nasal polyps is strongest related to rhinosinusitis compared to the other evaluated comorbidities. A separate code for chronic rhinosinusitis exists, but is not in use. TP: Acute and chronic rhinosinusitis are coded as one diagnosis. The incidence of rhinosinusitis is 5574 or 28.7 per 1000 patient years. Patients who visit their general practitioner with “symptoms/complaints of sinus”, allergic rhinitis and “other diseases of the respiratory system” have the highest chances to be diagnosed with rhinosinusitis. Medication is prescribed in 90.6?% of the cases. Conclusions Rhinosinusitis is a common diagnosis in primary practice. In the used registries no difference could be made between acute and chronic rhinosinusitis, but they give insight in comorbidity and interventions taken by the GP in case of rhinosinusitis.
机译：背景初级保健中关于鼻-鼻窦炎的流行病学的准确数据有限。这项研究是通过分析两个荷兰全科医生注册项目的数据来评估急性和慢性鼻鼻窦炎的发生率。几种患者特征和疾病与鼻-鼻窦炎的诊断有关。方法在初级实践中，使用连续发病率注册（CMR）和Transitionproject（TP）来分析有关鼻-鼻窦炎的数据。两个注册表都使用代码来注册诊断。结果在CMR 3244患者中登记了鼻－鼻窦炎，在TP 5424 CMR中：（急性）鼻－鼻窦炎的绝对发生率为5191（每1000患者年18.8）。关于比值比为5.58，与其他评估的合并症相比，鼻息肉与鼻-鼻窦炎最相关。存在针对慢性鼻-鼻窦炎的单独代码，但尚未使用。 TP：急性和慢性鼻-鼻窦炎被编码为一种诊断。鼻-鼻窦炎的发生率为每1000患者年5574或28.7。以“鼻窦症状/诉状”，过敏性鼻炎和“呼吸系统其他疾病”就诊的全科医生，被诊断为鼻-鼻窦炎的机会最高。在90.6％的病例中规定了药物治疗。结论鼻鼻窦炎是主要实践中的常见诊断。在使用的注册表中，急性和慢性鼻-鼻窦炎之间没有区别，但是它们提供了合并症和GP鼻-鼻窦炎干预措施的见识。

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