scholarly journals Age- and gender-specific trends in respiratory outpatient visits and diagnoses at a tertiary pediatric hospital in China: a 10-year retrospective study

2019 ◽  
Author(s):  
Peng Shi ◽  
Xiaobo Zhang ◽  
Lijuan Liu ◽  
Liangfeng Tang ◽  
Jing Li ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Respiratory Infections ◽  
Age Groups ◽  
Childhood Mortality ◽  
Teaching Hospitals ◽  
Annual Growth Rate ◽  
Age And Gender ◽  
Outpatient Visits ◽  
And Gender ◽  
Gender Specific

Abstract Background: Respiratory infections are one of three leading causes of childhood mortality, and worldwide increase and recent plateau in childhood asthma has been reported. However, data on trends of respiratory diseases over long period of time is limited. This study aimed to determine the trends of respiratory disease outpatient visits (ROVs) and diagnoses (RODs) in one of the largest children’s teaching hospitals in China between 2009 and 2018. Methods: A retrospective study based on routine administrative data was designed and implemented according to the RECORD statement. Demographic details and diagnoses of the outpatients <18 years visiting the respiratory department of the hospital were extracted from the Hospital Information System. Age- and gender-specific trends were illustrated by calculating average annual growth rate (AGR) for ROVs and comparing change of proportion for different RODs over time. Results: There were 698054 ROVs from 285574 children (40.4% female). Average AGR of ROVs was 15.2%. Children aged 4 to < 7 years had a faster increase than other age groups. Bronchitis (27.6%), pneumonia (18.5%), pneumonia affecting other systems (18.4%), asthma and status asthmaticus (10.7%), and vasomotor and allergic rhinitis (9.2%) accounted for 84.4% of all RODs. The proportion of bronchitis decreased across years, with the concomitant increasing trend in the proportion of pneumonia. Age-specific trend in diagnoses showed the significantly increased proportion of asthma with ages, especially for the children aged 4 to < 18 years. Gender-specific trend in diagnoses showed the proportion of asthma was greater for males but the average AGR was greater for females. Conclusion: The persistent upward trend in ROVs was observed among children at different ages and a gender difference was also seen. In contrast to what has been reported, burden of asthma and allergies diseases continues to increase locally. Keywords: Respiratory infections, Asthma, Pediatrics, Outpatients, Trend study

scholarly journals Age- and gender-specific trends in respiratory outpatient visits and diagnoses at a tertiary pediatric hospital in China: a 10-year retrospective study

2020 ◽  
Author(s):  
Peng Shi ◽  
Xiaobo Zhang ◽  
Lijuan Liu ◽  
Liangfeng Tang ◽  
Jing Li ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Respiratory Infections ◽  
Age Groups ◽  
Childhood Mortality ◽  
Teaching Hospitals ◽  
Annual Growth Rate ◽  
Age And Gender ◽  
Outpatient Visits ◽  
And Gender ◽  
Gender Specific

Abstract Background: Respiratory infections are one of three leading causes of childhood mortality, and worldwide increase and recent plateau in childhood asthma has been reported. However, data on trends of respiratory diseases over long period of time is limited. This study aimed to determine the trends of respiratory disease outpatient visits (ROVs) and diagnoses (RODs) in one of the largest children’s teaching hospitals in China between 2009 and 2018. Methods: A retrospective study based on routine administrative data was designed and implemented according to the RECORD statement. Demographic details and diagnoses of the outpatients <18 years visiting the respiratory department of the hospital were extracted from the Hospital Information System. Age- and gender-specific trends were illustrated by calculating average annual growth rate (AAGR) for ROVs and comparing change of proportion for different RODs over time. Results: There were 698054 ROVs from 285574 children (40.4% female). AAGR of ROVs was 15.2%. Children aged 4 to < 7 years had a faster increase than other age groups. Bronchitis (27.6%), pneumonia (18.5%), pneumonia affecting other systems (18.4%), asthma and status asthmaticus (10.7%), and vasomotor and allergic rhinitis (9.2%) accounted for 84.4% of all RODs. The proportion of bronchitis decreased across years, with the concomitant increasing trend in the proportion of pneumonia. Age-specific trend in diagnoses showed greater proportion of asthma in all visits for the children aged 7 to < 18 years than younger children. Gender-specific trend in diagnoses showed the proportion of asthma was greater for males but the AAGR was greater for females. Conclusion: The persistent upward trend in ROVs was observed among children at different ages and a gender difference was also seen. In contrast to what has been reported, burden of asthma and allergies diseases continues to increase locally.

scholarly journals Age- and gender-specific trends in respiratory outpatient visits and diagnoses at a tertiary pediatric hospital in China: a 10-year retrospective study

2020 ◽  
Author(s):  
Peng Shi ◽  
Xiaobo Zhang ◽  
Lijuan Liu ◽  
Liangfeng Tang ◽  
Jing Li ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Respiratory Infections ◽  
Age Groups ◽  
Childhood Mortality ◽  
Teaching Hospitals ◽  
Annual Growth Rate ◽  
Age And Gender ◽  
Outpatient Visits ◽  
And Gender ◽  
Gender Specific

Abstract Background: Respiratory infections are one of three leading causes of childhood mortality, and worldwide increase and recent plateau in childhood asthma has been reported. However, data on trends of respiratory diseases over long period of time is limited. This study aimed to determine the trends of respiratory disease outpatient visits (ROVs) and diagnoses (RODs) in one of the largest children’s teaching hospitals in China between 2009 and 2018. Methods: A retrospective study based on routine administrative data was designed and implemented according to the RECORD statement. Demographic details and diagnoses of the outpatients <18 years visiting the respiratory department of the hospital were extracted from the Hospital Information System. Age- and gender-specific trends were illustrated by calculating average annual growth rate (AAGR) for ROVs and comparing change of proportion for different RODs over time. Results: There were 698054 ROVs from 285574 children (40.4% female). AAGR of ROVs was 15.2%. Children aged 4 to < 7 years had a faster increase than other age groups. Bronchitis (27.6%), pneumonia (18.5%), pneumonia affecting other systems (18.4%), asthma and status asthmaticus (10.7%), and vasomotor and allergic rhinitis (9.2%) accounted for 84.4% of all RODs. The proportion of bronchitis decreased across years, with the concomitant increasing trend in the proportion of pneumonia. Age-specific trend in diagnoses showed greater proportion of asthma in all visits for the children aged 7 to < 18 years than younger children. Gender-specific trend in diagnoses showed the proportion of asthma was greater for males but the AAGR was greater for females. Conclusion: The persistent upward trend in ROVs was observed among children at different ages and a gender difference was also seen. In contrast to what has been reported, burden of asthma and allergies diseases continues to increase locally.

scholarly journals Age- and gender-specific trends in respiratory outpatient visits and diagnosis at a tertiary pediatric hospital in China: a 10-year retrospective study

2019 ◽  
Author(s):  
Peng Shi ◽  
Lijuan Liu ◽  
Jing Li ◽  
Xiaobo Zhang ◽  
Albert M. Li ◽  
...  
Keyword(s):  
Growth Rate ◽  
Retrospective Study ◽  
Respiratory Disease ◽  
Respiratory Infections ◽  
Allergic Diseases ◽  
Age And Gender ◽  
Average Growth ◽  
Outpatient Visits ◽  
And Gender ◽  
Gender Specific

Abstract Background: Respiratory infections are one of three leading causes of childhood mortality, and worldwide increase and recent plateau in childhood asthma has been reported. However, data on respiratory disease trends over long period of time is limited. This study aimed to determine trends in respiratory disease outpatient visits (ROVs) and diagnoses (RODs) amongst attendants to one of the largest children’s teaching hospitals in China between 2009 and 2018. Methods: A retrospective study of routine administrative data was designed and reported according to the RECORD statement. Demographic details and diagnoses of patients <18 years attended the respiratory disease clinic were extracted from the Hospital Information System. Age and gender-specific trends were analyzed by comparing change in number of clinic attendants and different diagnoses over time. Results: There were 698054 ROVs involving 285574 children (59.6% male and 40.4% female). Average growth rate of ROVs was 15.2% and children aged 4 to <7 years had a faster increase than other age groups. Lower respiratory infections (LRI) (29.6%), influenza and pneumonia (17.9%), asthma and allergic diseases (13.2%), and diseases of upper respiratory tract (12.1%) accounted for 72.8% of all RODs. Gender-specific trend in diagnoses showed the percentage of asthma and allergic diseases increased with ages, especially among the group aged between 4 to <7 years. Gender-specific trend in ROVs showed a greater increase of asthma and allergic diseases than other RODs for males and females. The percentage of asthma and other allergic diseases was greater for males but the growth rate was faster for females. Asthma and allergic diseases were evaluated as co-morbidities to LRI and associated to 25.5% of LRI patients. Conclusion: The sustainable upward trend in ROVs was observed among children at different ages and a gender differential effect was also seen. In contrast to what has been reported, asthma and allergies diseases burden continued to increase in our locally.

scholarly journals Age and Gender Specific Lung Cancer Incidence and Mortality in Hungary: Trends from 2011 Through 2016

2021 ◽  
Vol 27 ◽  
Author(s):  
Lilla Tamási ◽  
Krisztián Horváth ◽  
Zoltán Kiss ◽  
Krisztina Bogos ◽  
Gyula Ostoros ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Age Groups ◽  
Age Group ◽  
Lung Cancer Incidence ◽  
Age And Gender ◽  
Female Population ◽  
Incidence And Mortality ◽  
Icd 10 ◽  
And Gender ◽  
Gender Specific

Objective: No assessment was conducted describing the age and gender specific epidemiology of lung cancer (LC) prior to 2018 in Hungary, thus the objective of this study was to appraise the detailed epidemiology of lung cancer (ICD-10 C34) in Hungary based on a retrospective analysis of the National Health Insurance Fund database.Methods: This longitudinal study included patients aged ≥20 years with LC diagnosis (ICD-10 C34) between January 1, 2011 and December 31, 2016. Patients with different cancer-related codes 6 months before or 12 months after LC diagnosis or having any cancer treatment other than lung cancer protocols were excluded.Results: Lung cancer incidence and mortality increased with age, peaking in the 70–79 age group (375.0/100,000 person-years) among males, while at 60–69 age group for females (148.1/100,000 person-years). The male-to-female incidence rate ratio reached 2.46–3.01 (p &lt; 0.0001) among the 70–79 age group. We found 2–11% decrease in male incidence rate at most age groups, while a significant 1–3% increase was observed in older females (&gt;60) annually during the study period.Conclusion: This nationwide epidemiology study demonstrated that LC incidence and mortality in Hungary decreased in younger male and female population, however we found significant increase of incidence in older female population, similar to international trends. Incidence rates peaked in younger age-groups compared to Western countries, most likely due to higher smoking prevalence in these cohorts, while lower age LC incidence could be attributed to higher competing cardiovascular risk resulting in earlier mortality in smoking population.

scholarly journals ¿Cómo influyen la edad y el género en la capacidad de cambiar de dirección en alumnos de educación primaria? (How does the age and gender influence the ability to change direction in primary school children?)

Retos ◽  
2015 ◽  
pp. 40-43
Author(s):  
Javier Yanci Irigoyen ◽  
Asier Los Arcos
Keyword(s):  
Elementary Education ◽  
Age Groups ◽  
Primary School Children ◽  
Age And Gender ◽  
Gender Influence ◽  
Change Direction ◽  
And Gender ◽  
Educación Primaria ◽  
Los Grupos ◽  
Gender Specific

El principal objetivo de esta investigación fue conocer la influencia de la edad y el género en la capacidad de cambiar de dirección (CODA) en niños y niñas de educación primaria. En este estudio participaron 343 niños y niñas (8.2 ± 1.1 años, 143.2 ± 8.7 cm, 37.8 ± 9.9 kg) estudiantes de primer, segundo, tercer y cuarto curso de educación primaria. Para evaluar la CODA se utilizó el Modified Agility Test (MAT). Los resultados mostraron diferencias significativas (F(3) = 56.25, p ≤ 0.001) entre los grupos de edad. Las diferencias en la CODA entre chicos y chicas no se han manifestado hasta el cuarto curso (t(56) = -2.30, p = 0.02) de educación primaria. Atendiendo a la edad y al género, la evolución de los chicos y las chicas fue diferente. Estos resultados pueden exponer la necesidad de implementar programas específicos para mejorar la capacidad de cambio de dirección en distintos momentos en función de la edad y del género.Abstract. The main objective of this study was to determine the influence of age and gender on the ability to change direction (ACD) in elementary education children. This study involved 343 children (8.2 ± 1.1 years, 143.2 ± 8.7 cm, 37.8 ± 9.9 kg) from first, second, third and fourth year of elementary education. The Modified Agility Test (MAT) was used to evaluate the ACD. The results showed significant differences (F(3) = 56.25, p ≤ 0.001) between the age groups. Differences in ACD between boys and girls have not manifested through fourth grade (t(56) = -2.30, p = 0.02). The development of boys and girls was different by age. These results may lead us to think about the need to implement age- and gender-specific programs to improve the ACD at different times.

Abstract 145: Is the Rate of Ischemic Stroke Incidence Changing Differentially Over Time for Women and Men?

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Jane C Khoury ◽  
Brett Kissela ◽  
Heidi Sucharew ◽  
Kathleen Alwell ◽  
Charles Moomaw ◽  
...  
Keyword(s):  
Age Groups ◽  
Population Based ◽  
Incidence Rates ◽  
Age And Gender ◽  
Stroke Incidence ◽  
Men And Women ◽  
Stroke Prevalence ◽  
And Gender ◽  
Gender Specific ◽  
Over Time

Background: A surge of midlife (age 55-64 years) stroke in women, and not in men, has previously been reported using prevalence data from NHANES. However it is not clear if this same finding would be seen within age- and gender-specific incidence rates of stroke. We sought to examine the incidence of ischemic (IS) stroke and the gender-specific trends over time in a population-based study of stroke epidemiology. Methods: Data from the population-based Greater Cincinnati and Northern Kentucky epidemiology of stroke study for adults (≥ 20 years) was used from three collection periods; 7/1993 to 6/1994, 1999, and 2005. We compared the IS stroke incidence rates in women versus men between the three study periods, in particular for the ages 35 to 65 years. Sex specific age, and race adjusted incidence rates and race adjusted, age and gender specific incidence rates were estimated and adjusted to the 2000 US population. Results: A total of 5166 incident IS strokes were identified: 1709 from 7/1993 to 6/1994, 1778 from 1999, and 1679 from 2005. These were 56% female, 18% black; mean age was 71.4 (13.7) years. Overall, IS stroke incidence declined in both women and men in 2005 compared to the previous time periods (p<0.01). However, there was a significant increase over time in stroke incidence seen in both men and women in the younger age groups in 2005, compared with 1993/94 (p<0.05). Conclusions: We found that stroke incidence is not changing differently over time for men and women. There has been an increase in IS stroke incidence in the young, but this is found in both men and women. The previously reported “surge” in middle-aged stroke prevalence may be related in part to increased rates of stroke in the young, with survival to middle-age, but our incidence findings do not explain the reported difference in prevalence found between women and men in the NHANES cohort.

scholarly journals Gender difference in the incidence of shingles

2004 ◽  
Vol 132 (1) ◽  
pp. 1-5 ◽  
Author(s):  
D. M. FLEMING ◽  
K. W. CROSS ◽  
W. A. COBB ◽  
R. S. CHAPMAN
Keyword(s):  
Herpes Simplex ◽  
Age Groups ◽  
Incidence Rates ◽  
Age Group ◽  
Age And Gender ◽  
Relative Risks ◽  
And Gender ◽  
Incident Cases ◽  
Gender Specific ◽  
Practice Network

We investigated age- and gender-specific incidence of shingles reported in a large sentinel practice network monitoring a defined population over the years 1994–2001. In total, 5915 male and 8617 female incident cases were studied. For each age group, we calculated the relative risk of females to males presenting with shingles. Incidence rates of chickenpox and herpes simplex were examined similarly. Shingles incidence was greater in females in each age group (except for 15–24 years). Relative risks (female to male) were greatest in age groups 45–64 years (1·48) and 0–14 years (1·43). There were no gender differences in the incidence of chickenpox except in the 15–24 years age group (female excess): for herpes simplex there were female excesses in all age groups. Gender-specific age-standardized incidence rates of shingles were calculated for each year and showed a consistent female excess in each of the 8 years (average annual excess 28%).

scholarly journals Age and gender specific lung cancer incidence and mortality in Hungary: Trends from 2011 through 2016.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e21572-e21572
Author(s):  
Gabriella Galffy ◽  
Zoltan Kiss ◽  
Krisztina Bogos ◽  
Judit Moldvay ◽  
Nora Bittner ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Age Groups ◽  
Age Group ◽  
Lung Cancer Incidence ◽  
Age And Gender ◽  
Female Population ◽  
Incidence And Mortality ◽  
Icd 10 ◽  
And Gender ◽  
Gender Specific

e21572 Background: No assessment was conducted describing the age and gender specific epidemiology of lung cancer (LC) prior to 2018 in Hungary, thus the objective of this study was to appraise the detailed epidemiology of lung cancer (ICD-10 C34) in Hungary based on a retrospective analysis of the National Health Insurance Fund database. Methods: This longitudinal study included patients aged ≥20 years with LC diagnosis (ICD-10 C34) between 1st January 2011 and 31th December 2016. Patients with different cancer-related codes 6 months before or 12 months after LC diagnosis or having any anti-cancer treatment different from lung cancer protocols were excluded. Results: In 2011, 4,522 new male lung cancer cases were registered in the NHIF database, while we found 4,176 incident patients in 2016. The number of female patients increased from 2,636 to 2,828 during the same period. The mean age at diagnosis was 64.51 years for men (SD±9.85) and 64.93 years for women (SD±11.19) in 2011, increasing steadily to 65.80 years (SD±9.41) and 65.99 years (SD±10.45), respectively. Lung cancer incidence and mortality increases with age, peaking in the 70–79 age group (375.0/100,000 person-years) among males, while at 60–69 age group for females (148.1/100,000 person-years). The male-to-female incidence rate ratio reached 2.46 to 3.01 (p < 0.0001) among the 70–79 age group. We found 2-11% decrease in male incidence rate at most age groups, while a significant 1-3% increase was observed in older females ( > 60) annually during the study period. Conclusions: This nationwide epidemiology study demonstrated that LC incidence and mortality in Hungary is decreasing in younger male and female population, however we found significant increase of incidence in older female population, similar to international trends. Incidence rates peaked in younger age-groups compared to Western countries, most likely due to higher smoking prevalence in these cohorts, while lower age LC incidence could be attributed to higher competing cardiovascular risk resulting in earlier mortality in smoking population.

Age- and gender-specific prevalence and risk factors for depressive symptoms in the elderly: a population-based study

2011 ◽  
Vol 23 (8) ◽  
pp. 1294-1300 ◽  
Author(s):  
H. Glaesmer ◽  
S. Riedel-Heller ◽  
E. Braehler ◽  
L. Spangenberg ◽  
M. Luppa
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Depressive Symptoms ◽  
Old Age ◽  
Age Groups ◽  
Total Sample ◽  
Age And Gender ◽  
Factors Associated ◽  
And Gender ◽  
Gender Specific

ABSTRACTObjectives: Information on the prevalence and risk factors for depressive disorders in old age is of considerable interest for the assessment of future needs of the health care system. The aim of the study is to determine age- and gender-specific prevalence of major depression (MD), minor depression (MiD), and depressive symptoms, and to analyze risk factors associated with depressive symptoms.Methods: A representative sample of the German population of 1,659 individuals aged 60 to 85 years were visited at home and answered self-rating questionnaires. Depressive symptoms and syndromes (MD, MiD) were assessed using the Patient Health Questionnaire (PHQ-9). Factors associated with depressive symptoms were determined with linear regression models for the total sample and for men and women separately.Results: Depressive symptoms were found in 28.7% of the participants, while 6.6% were affected by MD or MiD. The highest prevalence of MD and depressive symptoms was found in the oldest age groups. MiD showed an unsteady course across age groups in both sexes. In the total sample as well as in the male subsample, depressive symptoms were significantly associated with increasing age, lower household income, an increasing number of medical conditions, and lower social support. In women only, the number of medical conditions and lacking social support were significantly associated with depressive symptoms.Conclusions: Depressive symptoms are common in old age and occur on a spectrum ranging from very mild forms to MD. The potential modifiability of a number of risk factors for depressive symptoms opens possibilities of secondary prevention such as treatment of chronic diseases as well as support in requirements of daily living.

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