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The prevalence and risks of major comorbidities among inpatients with pulmonary tuberculosis in China from a gender and age perspective: a large-scale multicenter observational study

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机构: [1]Beijing Chest Hospital, Capital Medical University, BeijingTuberculosis and Thoracic Tumor Research Institute,Beijing 101149, China [2]Chongqing Public Health Medical Center, No.109, Baoyu Road,Geleshan Town, Shapingba District, Chongqing 400036, China [3]Shenyang Chest Hospital, No. 11 Beihai Street, Dadong District,Shenyang 110044, China [4]Guang Zhou Chest Hospital, No.62, Heng Zhi Gang Road, YuexiuDistrict, Guangzhou 510095, Guangdong, China [5]Chest Hospital of Xinjiang, No.106, Yan ’An Road, TianshanDistrict, Urumqi 830049, Xinjiang, China [6]The Third People’s Hospital of Kunming, No. 319 Wu Jing Road,Kunming City 650041, Yunnan Province, China [7]Shandong Provincial Chest Hospital, No. 12, Lieshishandong Road,Licheng District, Jinan 250000, Shandong, China [8]Jiangxi Chest (Third People) Hospital, No.346 Dieshan Road,Donghu District, Nanchang City 330006, Jiangxi Province, China [9]Chang Chun Infectious Diseases Hospital, No. 2699, SandaoSection, Changji South Line, Erdao District, ChangchunCity 130123, Jilin Province, China [10]Taiyuan Fourth People’s Hospital, Number 231, Xikuang Street,Wan Bailin District, Taiyuan City 030024, Shanxi Province, China [11]Fuzhou Pulmonary Hospital of Fujian, No. 2, Lakeside, CangshanDistrict, Fuzhou 350008, China [12]Tianjin Haihe Hospital, Number 890, Shuanggangzhenjingu Road,Jinnan District, Tianjin City 300350, China [13]Third People’s Hospital of Shenzhen, 29 Bulan Road, DistrictLonggang, Shenzhen 518112, China [14]The First Affiliated Hospital of ChongqingMedical University, No.1 Youyi Road, Yuzhong District, Chongqing, China [15]Weifang NO.2 People’s Hospital, No. 7th Yuanxiao Street KuiwenDistrict, Weifang 261041, China [16]The Fifth People’s Hospital of Suzhou, No. 10, Guangqian Road,Suzhou City 215000, Jiangsu Province, China [17]AffiliatedHospital of ZunyiMedical College, No. 149 Delian Road,Zunyi 563000, Guizhou, China [18]The Fifth People’s Hospital of Wuxi, No. 1215, GuangRui Road,Wuxi, 214001, China [19]TB Hospital of Siping City, No. 10 Dongshan Road, TiedongDistrict, Siping City 136001, Jilin Province, China [20]Baoding Hospital for Infectious Disease, No. 608 Dongfeng EastRoad, Lianchi District, Baoding City 071000,Hebei Province, China [21]The First Affiliated Of XiaMen University, ZhenhaiRoud, SimingDistrict, Xiamen City, Fujian Province, China
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关键词: Comorbidity Pulmonary tuberculosis Prevalence Risk

摘要:
In clinical practice, PTB patients have concurrent many types of comorbidities such as pneumonia, liver disorder, diabetes mellitus, hematological disorder, and malnutrition. Detecting and treating specific comorbidities and preventing their development are important for PTB patients. However, the prevalence of most comorbid conditions in patients with PTB is not well described. We conducted a large-scale, multicenter, observational study to elucidate and illustrate the prevalence rates of major comorbidities in inpatients at 21 hospitals in China. The 19 specific comorbidities were selected for analysis in this patient cohort, and stratified the inpatient cohort according to age and gender. A total of 355,929 PTB inpatients were included, with a male:female ratio of 1.98 and the proportion of >= 65 years PTB inpatients was the most. Approximately 70% of PTB inpatients had at least one defined type of comorbidity. The prevalence of 19 specific comorbidities in inpatients with PTB was analyzed, with pneumonia being the most common comorbidity. The prevalence of most comorbidities was higher in males with PTB except thyroid disorders, mental health disorders, etc. The prevalence of defined most comorbidities in patients with PTB tended to increase with increasing age, although some specific comorbidities tended to increase initially then decrease with increasing age. Our study describes multiple clinically important comorbidities among PTB inpatients, and their prevalence between different gender and age groups. The results will enhance the clinical aptitude of physicians who treat patients with PTB to recognize, diagnose, and treat PTB comorbidities early.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 4 区 传染病学 4 区 微生物学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 传染病学 3 区 微生物学
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出版当年[2020]版:
Q3 INFECTIOUS DISEASES Q3 MICROBIOLOGY
最新[2023]版:
Q2 INFECTIOUS DISEASES Q2 MICROBIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Beijing Chest Hospital, Capital Medical University, BeijingTuberculosis and Thoracic Tumor Research Institute,Beijing 101149, China
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