医学
流行病学
基督教牧师
置信区间
急性胰腺炎
内科学
胰腺炎
神学
哲学
作者
Shin Hamada,Atsushi Masamune,Kazuhiro Kikuta,Morihisa Hirota,Ichiro Tsuji,Tooru Shimosegawa
出处
期刊:Pancreas
[Ovid Technologies (Wolters Kluwer)]
日期:2014-11-01
卷期号:43 (8): 1244-1248
被引量:77
标识
DOI:10.1097/mpa.0000000000000200
摘要
Objectives A nationwide epidemiological survey of acute pancreatitis (AP) was performed to estimate the number of patients with AP in 2011 in Japan and to clarify the clinical features. Methods The first survey was performed by sending a questionnaire to randomly selected 4175 departments to determine the number of hospitalized patients with AP during 2011. The second survey was conducted by sending a questionnaire to departments in which hospitalized patients with AP were treated based on the first questionnaire. Evaluation of the AP severity was based on the revised severity scoring system of AP of the Japanese Ministry of Health, Labor and Welfare (2008). Results The estimated total number of patients with AP in 2011 was 63,080 (95% confidence interval, 57,678–68,484), with an overall prevalence rate of 49.4 per 100,000 population. The male-to-female ratio was 1.9. The mean age was 58.5 in male and 65.3 in female patients. Alcoholic AP was the most common in male and gallstone AP was the most common in female patients. The overall mortality of AP was 2.6%, and in severe AP, 10.1%. Conclusions The number of patients with AP is still increasing. The revised severity scoring system provided a more precise prediction of prognosis.
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