更改肝硬化住院的趋势，北京，中国

StephenW

BMJ Open Gastro 2015; 2:e000051 doi:10.1136/bmjgast-2015-000051
Changing trends of hospitalisation of liver cirrhosis in Beijing, China
Xiao-Yuan Bao1, Bei-Bei Xu1, Kai Fang2, Yan Li3, Yong-Hua Hu2, Guo-Pei Yu1,
Author Affiliations
1Medical Informatics Center, Peking University, Beijing, China
2Department of Epidemiology, School of Public Health, Peking University, Beijing, China
3Department of Hospital Administration, Peking University, Beijing, China
Received:
28 May 2015
Accepted:
27 July 2015
Published Online:
27 August 2015
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/


Abstract
Objective

To examine if the hospitalisation trends of liver cirrhosis are changing with the changes of risk factors of the disease in China.
Design

Secondary analysis of hospitalisation records in the 31 top-ranking hospitals in Beijing.
Results

Between 2006 and 2010, hospitalisation from viral hepatitis cirrhosis (VHC) decreased by 10% (95% CI=5–14%, p<0.001), but non-viral hepatitis cirrhosis (NVHC) and alcoholic cirrhosis (AC) increased by 35% (26–46%, p<0.001) and 33% (19%– 47%, p<0.001), respectively. The age patterns of hospitalisation varied with different types of liver cirrhosis. The hospitalisation risks for patients with VHC and AC were significantly high in the age groups 40–49 and 50–59 years, but risks for those with NHVC were high in all age groups of 40 years or above. Overall male-to-female hospitalisation ratios for VHC, NVHC and AC were 2.71, 1.14 and 59.9, respectively. The sex ratio became smaller with time from 2006 to 2010 in hospitalised patients with VHC, but it substantially increased in those with NVHC during the same period.
Conclusions

Hospitalisation rates for liver cirrhosis in Beijing are changing with time. The changes of viral hepatitis infection and alcohol consumption in the general population may cause these changes.
Keywords: ALCOHOL, LIVER CIRRHOSIS, HEPATITIS

StephenW

BMJ开放胃肠2015年; 2：e000051 DOI：10.1136 / bmjgast-2015-000051
更改肝硬化住院的趋势，北京，中国
肖元Bao1，贝贝旭1，启芳2，严钒锂，雍华HU2，郭沛宇1，
作者机构
1医药信息学中心，北京大学，北京，中国
流行病学，北京大学公共卫生学院，北京，中国教研室
医院管理局，北京大学，北京，中国的3Department
收稿日期：
2015年5月28日
接受：
2015年7月27日
发布时间：
2015年8月27日
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抽象的
目标

要研究是否肝硬化住院治疗的趋势正在改变与疾病在中国的风险因素的变化。
图案

在31排名靠前的医院在北京住院记录二次分析。
结果

2006年至2010年，病毒性肝炎肝硬化住院（VHC）下降10％（95％CI = 5-14％，P <0.001），但无肝炎肝硬化（NVHC）和酒精性肝硬化（AC）同比增长35 ％（26-46％，P <0.001）和33％（19％ - 47％，P <0.001）。住院的年龄格局变化与不同类型的肝硬化。患者VHC和交流的住院风险是显著高年龄组40〜49和50〜59岁，但对于那些有NHVC风险均较高的40岁或以上的年龄组。总体而言男性对女性的住院比率VHC，NVHC和交流为2.71，1.14和59.9，分别。性别比例住院患者VHC变小与时间2006至2010年，但它基本上在同一时期中那些NVHC增加。
结论

住院率在北京肝硬化是随时间变化的。病毒性肝炎感染和酒精消费在总人口中的变化可能导致这些变化。
关键词：酒精，肝硬化，肝炎

StephenW

全文:
http://bmjopengastro.bmj.com/doi/full/10.1136/bmjgast-2015-000051