营养性贫血非常普遍,并在全球范围内引发了全球公认的公共卫生问题。
■为了更好地了解发达国家贫血的患病率和营养健康状况,以告知全球营养健康并更好地管理疾病。
■我们采用了医疗保健成本和利用项目(HCUP)-2020年全国住院医疗保健数据(NIS),由医疗保健研究和质量机构管理。营养性贫血是根据国际疾病分类诊断的,第十次修订(ICD-10)。使用匹配分析和多变量回归来调整患者和医院的特征。通过年龄和性别的分层和匹配获得对照。
■2020年HCUP-NIS数据库包含了对640万住院患者的调查,其中1,745,350例患者诊断为贫血,约占住院人口的26.97%,超过31万人被诊断为营养性贫血,13,150例患者以营养性贫血为主要诊断。营养性贫血的住院率在全国范围内表现出年龄依赖性增加,尤其是女性,比男性高1.87倍。值得注意的是,与对照组相比,黑人个体表现出更高的营养性贫血患病率(病例组:21.7%,对照组:13.0%,p<0.001)。此外,低收入人群的住院率较高,私人保险费率较低(病例组:18.7%,对照组:23.5%,p<0.001)和更高的医疗补助保险费率(病例组:15.4%,对照组:13.9%,p<0.001)。在城市中心较大,城乡分布内经济条件先进的地区,观察到患者住院频率增加.缺铁性贫血是营养性贫血的主要亚型,占12214(92.88%)。因营养性贫血住院的患者的二次诊断显示,相当多的患者面临高血压和肾衰竭等并发重大疾病。
■在经济繁荣的地区,应该更加关注低收入个人和老年人的健康。我们的研究结果为制定有针对性的公共卫生政策提供了宝贵的见解,以有效解决基于总体人口健康的营养性贫血的患病率和后果。
UNASSIGNED: Nutritional anemia is highly prevalent and has triggered a globally recognized public health concern worldwide.
UNASSIGNED: To better understand the prevalence of anemia and the state of nutritional health in developed countries to inform global nutritional health and better manage the disease.
UNASSIGNED: We employed the Healthcare Cost and Utilization Project (HCUP)-2020 National Inpatient Health Care Data (NIS), administered by The Agency for Healthcare Research and Quality. Nutritional anemia was diagnosed according to the International Classification of Diseases, 10th Revision (ICD-10). Matching analysis and multivariate regression were used to adjust for patient and hospital characteristics. Controls were obtained by stratifying and matching for age and sex.
UNASSIGNED: The 2020 HCUP-NIS database encompassed a survey over 6.4 million hospitalized patients, among which 1,745,350 patients diagnosed with anemia, representing approximately 26.97% of the hospitalized population, over 310,000 were diagnosed with nutritional anemia, and 13,150 patients were hospitalized for nutritional anemia as primary diagnosis. Hospitalization rate for nutritional anemia exhibited an increased age-dependent increase nationwide, especially among females, who displayed 1.87 times higher than males. Notably, in comparison to the control group, individuals of the Black race exhibit a higher prevalence of nutritional anemia (case group: 21.7%, control group: 13.0%, p < 0.001). In addition, hospitalization rates were higher among low-income populations, with lower rates of private insurance (case group: 18.7%, control group: 23.5%, p < 0.001) and higher rates of Medicaid insurance (case group: 15.4%, control group: 13.9%, p < 0.001). In areas characterized by larger urban centers and advanced economic conditions within the urban-rural distribution, there was an observed increase in the frequency of patient hospitalizations. Iron deficiency anemia emerged as the predominant subtype of nutritional anemia, accounting for 12,214 (92.88%). Secondary diagnosis among patients hospitalized for nutritional anemia revealed that a significant number faced concurrent major conditions like hypertension and renal failure.
UNASSIGNED: In economically prosperous areas, greater attention should be given to the health of low-income individuals and the older adult. Our findings hold valuable insights for shaping targeted public health policies to effectively address the prevalence and consequences of nutritional anemia based on a overall population health.