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Abstract：
To investigate the trends of hospital admissions concerning diseases of the eye and adnexa in Australia in the past 2 decades. This is a descriptive ecological study on the population level that examined hospitalization data for the duration between 1998 and 2021 in Australia. Hospitalization data were extracted from the National Hospital Morbidity Database. The chi-squared test was utilized to assess the difference in admission rates between the years 1998 and 2021. Hospital admission rate for diseases of the eye and adnexa increased by 1.20-fold (from 852.32 [95% confidence interval [CI] 848.16-856.47] in 1998 to 1873.72 [95% CI 1868.48-1878.96] in 2021 per 100,000 persons, P < .01). The most common cause of hospitalization for diseases of the eye and adnexa was disorders of the lens (65.7%), followed by disorders of the choroid and retina (15.6%), followed by disorders of the eyelid, lacrimal system, and orbit (7.7%). Hospital admission rate among males increased by 1.25-fold (from 737.67 [95% CI 732.18-743.16] in 1998 to 1657.19 [95% CI 1650.19-1664.20] in 2021 per 100,000 persons). Hospital admission rate among females increased less sharply by 1.03-fold (from 965.37 [95% CI 959.14-971.59] in 1998 to 1964.35 [95% CI 1956.80-1971.90] in 2021 per 100,000 persons). There are clear gender and age roles in the epidemiology of hospital admissions related to eye and adnexa disorders. Lens disorders were the most common cause of hospital admission. The admission rate increase during the past decades could be due to increases in life expectancy, lifestyle changes, and improvements in screening protocols.
摘要：
调查过去20年澳大利亚眼病和附件疾病的住院趋势。这是一项关于人口水平的描述性生态研究，检查了澳大利亚1998年至2021年期间的住院数据。住院数据从国家医院发病率数据库中提取。卡方检验用于评估1998年至2021年之间的入院率差异。眼和附件疾病的住院率增加了1.20倍（从1998年的852.32[95％置信区间[CI]848.16-856.47]到2021年的1873.72[95％CI1868.48-1878.96]每100,000人，P<.01)。眼睛和附件疾病住院的最常见原因是晶状体疾病（65.7％），其次是脉络膜和视网膜疾病（15.6%），其次是眼睑疾病，泪道系统,和轨道(7.7%)。男性的住院率增加了1.25倍（从1998年的737.67[95％CI732.18-743.16]到2021年的1657.19[95％CI1650.19-1664.20]，每100,000人）。女性的入院率急剧增加1.03倍（从1998年的965.37[95％CI959.14-971.59]到2021年的1964.35[95％CI1956.80-1971.90]，每100,000人）。在与眼睛和附件疾病相关的入院流行病学中，有明确的性别和年龄角色。晶状体疾病是住院的最常见原因。在过去的几十年中，入学率的增加可能是由于预期寿命的增加，生活方式的改变,以及筛查方案的改进。
