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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Epidemiologic Features of Kawasaki Disease in Taiwan, 1996–2002
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Epidemiologic Features of Kawasaki Disease in Taiwan, 1996–2002

机译：台湾川崎病的流行病学特征，1996-2002

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Objective. Kawasaki disease (KD) is the most common acquired heart disease in children worldwide. The incidence of KD varies among different countries, with Asian countries supposedly having higher incidences than Western countries. However, the incidence of KD in Taiwan has not been well investigated.Methods. Since the implementation of Taiwan's National Health Insurance (NHI) in 1995, NHI has covered health care for 96% its population. Using the NHI database from 1996 to 2002, we investigated epidemiologic features of KD ( International Classification of Diseases, Ninth Revision , code 446.1), the rate of coronary artery aneurysm formation ( International Classification of Diseases, Ninth Revision , code 414.11), and the change in incidence during the recent 7 years. We also compared the annual incidences in Taiwan with those reported by other countries.Results. During the 7-year study period, KD occurred most frequently in the summer and least frequently in winter. It is interesting that the highest peak occurred in the summer of 1998 at the same time that Taiwan's enterovirus 71 epidemic was occurring. Ninety-one percent of KD cases occurred in children who were 5 years old, and the male-to-female ratio was 1.70:1. Recurrence of KD was found in 1.3% (94 of 7305) of these children, and coronary artery aneurysm was found in 7.3% (536 of 7305). The annual incidence per 100 000 children was 146 in children 1 year old, 98 in 1-year-old children, 51 in 2-year-old children, 28 in 3-year-old children, 19 in 4-year-old children, and 5.3 in 5- to 9-year-old children; the incidence of KD decreased with increased age. The overall incidence was 66 cases per 100 000 children 5 years old from 1996 to 2002 with the annual incidence not differing significantly during the 7-year study period.Conclusions. KD in Taiwan occurs more frequently in boys and in the summer months. During the 7-year study period, the annual KD incidence in Taiwan of 66/100000 in children 5 years old was the second highest in the world after Japan.
机译：客观的。川崎疾病（KD）是全球儿童中最常见的心脏病。 KD的发病率在不同的国家之间变化，亚洲国家据称比西方国家更高的发病率。然而，台湾KD的发病率尚未得到很好的调查。方法。自1995年实施台湾全国健康保险（NHI）以来，NHI涵盖了卫生保健> 96％的人口。从1996年到2002年使用NHI数据库，我们调查了KD的流行病学特征（国际疾病的国际分类，第九修订，代码446.1），冠状动脉动脉瘤形成的率（国际疾病分类，第九修订，代码414.11），以及最近7年的发病率变化。我们还将台湾与其他国家报告的人进行了比较了台湾的年度事件。结果。在7年的学习期间，KD在夏天最常见的是冬季最常见的。有趣的是，最高峰在1998年夏天发生的同时发生了台湾肠道病毒71流行病。在<5岁的儿童中，九十一度的KD病例发生，男女比例为1.70：1。 KD的再次发生在这些儿童的1.3％（7305个）中发现，冠状动脉动脉瘤被发现为7.3％（536个7305）。每100 000名儿童的年度发病率为146名儿童<1岁儿童98名，在1岁儿童中，2岁儿童51人，3岁儿童28名，4岁的儿童19岁儿童，5.3在5到9岁的孩子; KD的发病率随着年龄较高而降低。总发病率为每100 000名儿童66例<5岁，1996年至2002年，在7年的研究期间，年发病率没有明显不同。结论。台湾的KD在男孩和夏季地发生在男孩和夏季。在7年的学习期间，在儿童66/100000台湾的年度KD发病率<5岁是世界后的第二高。

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