Analysis of herpes zoster incidence and hospitalization in three areas of Beijing in 2015 based on health information system of medical institutions
10.3760/cma.j.issn.0253-9624.2019.05.013
- VernacularTitle: 基于医疗机构就诊电子信息系统分析2015年北京3个区带状疱疹发病和住院情况
- Author:
Luodan SUO
1
;
Dan ZHAO
1
;
Jingbin PAN
1
;
Yanchun WANG
2
;
Qing WANG
3
;
Haihong WANG
4
;
Xinghui PENG
5
;
Xu WANG
3
;
Zonglong ZHU
4
;
Yanfei WANG
5
;
Xinghuo PANG
1
;
Li LU
1
Author Information
1. Institute of Immunization and Prevention, Beijing Municipal Center for Disease Prevention and Control/ Beijing Research Center for Preventive Medicine, Beijing 100013, China
2. Beijing Municipal Health Commission, Disease Control Department, Beijing 100053, China
3. Institute of Immunization and Prevention, Beijing Xicheng District Center for Disease Control and Prevention, Beijing 100120, China
4. Institute of Immunization and Prevention, Beijing Changping District Center for Disease Control and Prevention, Beijing 100220, China
5. Institute of Immunization and Prevention, Beijing Miyun District Center for Disease Control and Prevention, Beijing 101500, China
- Publication Type:Journal Article
- Keywords:
Herpes zoster;
Disease Burden;
Incidence;
Hospitalization rate
- From:
Chinese Journal of Preventive Medicine
2019;53(5):503-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Using data of health information system (HIS) of medical institutions to study the incidence and hospitalization of herpes zoster in three districts of Beijing.
Methods:According to the different level of economic development and geographical features in Beijing, 3 districts of Xicheng, Changping and Miyun were chosen and all 110 medical institutions of the first level and above in the 3 districts are included in the survey. All the outpatient and inpatient herpes zoster cases in 2015 were retrospectively reviewed by HIS system. After distinguishing the reduplicated cases, Using the first outpatient case as a molecule and the resident population as denominator to estimate the annual incidence rate, as well as the annual hospitalization rate was estimated based on primary diagnostic hospitalized cases as molecule and the resident population as denominator.
Results:A total of 32 313 primary visit outpatient cases were investigated, of which 18 360 cases (56.8%) were women and 20 923 cases (64.8%) were ≥50 years old. The overall estimated incidence of the 3 districts was 8.8‰ with an increase trends with age and reached to the highest in ≥80 years old (30.5/1 000). The incidence of Xicheng, Changping and Miyun districts are respectively 16.2‰, 4.0‰ and 5.7‰. A total of 701 primary visit inpatient cases were identified, of which 366 cases (52.2%) were women and 651 cases (92.9%) were ≥50 years old. The estimated annual hospitalization rate was 19.4/100 000, with the primary and secondary diagnostic hospitalization rate are respectively 5.9/100 000 (212 cases) and 13.5/100 000 (489 cases). The disease types of secondary diagnostic inpatient herpes zoster cases were as follows: cardiovascular disease (19.0%, 93 cases), stroke (14.5%, 71 cases), pneumonia/chronic obstructive pulmonary disease (14.1%, 69 cases), tumor (12.5%, 61 cases) and diabetes (5.7%, 28 cases).
Conclusion:Most of the herpes zoster cases in Beijing are over 50 years old, and the incidence of female is slightly higher than male. This disease should become a public health issue of great concern.
