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首页> 外文期刊>Canadian Journal of Emergency Medicine >Presentations to emergency departments for chronic obstructive pulmonary disease in Alberta: a population-based study
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Presentations to emergency departments for chronic obstructive pulmonary disease in Alberta: a population-based study

机译：向艾伯塔省慢性阻塞性肺疾病的急诊科介绍：一项基于人群的研究

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Objective:Chronic obstructive pulmonary disease (COPD) is a widespread illness with an increasing prevalence in older adults; exacerbations resulting in visits to the emergency department (ED) are common. We sought to determine the epidemiology of COPD presentations to EDs by older adults in Alberta.Methods:Administrative databases were used to examine all ED encounters for COPD from April 1999 to March 2005 in Alberta. Data included demographics of patients and timing of ED visits. Data analysis included descriptive summaries and age–sex directly standardized visit rates (DSVRs).Results:There were 85 330 ED visits for acute COPD made by 38 638 patients 55 years of age or older during the study period. More men (53.2%) presented, and the mean age at presentation was 72 years. The age–sex DSVRs remained stable from 2000/01 (24.4/1000) to 2004/05 (25.6/1000). Presentation rates differed among population subgroups. Overall, 67% of visits resulted in discharge from the ED.Conclusion:Chronic obstructive pulmonary disease is a common presentation in Alberta EDs; however, the rates of presentation were stable during the study period, and monthly and hourly trends exhibited similar patterns for each year. Disparities based on age, sex, and socio-economic and cultural statuses were identified. Targeted interventions could be implemented to reduce future ED visits for COPD.
机译：目的：慢性阻塞性肺疾病（COPD）是一种普遍存在的疾病，在老年人中患病率不断上升;导致急诊就诊的病情加重是很常见的。我们试图确定在艾伯塔省老年人向急诊科报告的慢性阻塞性肺病的流行病学方法：方法：使用行政数据库检查1999年4月至2005年3月在艾伯塔省发生的所有慢性阻塞性肺病与急诊科的接触。数据包括患者的人口统计资料和急诊就诊时间。数据分析包括描述性摘要和年龄性别直接标准化的就诊率（DSVR）。结果：在研究期间，由38 638名55岁以上的患者进行了85 330次急诊COPD急诊就诊。出现的男性更多（53.2％），出现时的平均年龄为72岁。从2000/01（24.4 / 1000）到2004/05（25.6 / 1000），年龄性别DSVR保持稳定。呈现率在人群亚组之间有所不同。总体而言，有67％的就诊导致了ED出院。结论：慢性阻塞性肺疾病是艾伯塔省ED的常见表现。但是，报告率在研究期间是稳定的，并且每年的每月和每小时趋势呈现相似的模式。确定了基于年龄，性别以及社会经济和文化状况的差异。可以实施有针对性的干预措施，以减少将来针对COPD的急诊就诊。

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