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摘要
Background: The burden of acute diarrheal diseases is a major problem in Thailand. The mortality rate is 0.5% of admissions in the 2010 Nationwide Hospital Admission Data. Data from the Global Burden of Diseases, Injuries, and Risk Factors Study in 2010 showed that the mortality rate of diarrheal disease was 2.65% of all deaths globally.
Objectives: To examine the burden of adult acute diarrhea in Thailand using nationwide data in 2010.
Methods: There were 820,735 admissions of patients aged >= 19 years with a diagnosis of digestive diseases (ICD10-K00-K93) and acute diarrhea (ICD10-A09). About one-third of admissions (214,722 admissions; 26%) were for acute diarrhea with a mean patient age 51.5 (SD 15.3) years.
Results: Approximately two-thirds of the 214,722 admissions were for acute diarrhea (59%) in patients 19-60 years old, and the remaining 41% were elderly patients >60 years old. Approximately 0.5% of admitted patients (1,048 patients) died. The complications during hospitalization were septicemia (2.2%), mechanical ventilation (0.6%), and renal failure requiring hemodialysis (0.14%). The predictors of mortality were patients >60 years old at admission, male sex, and the presence of complications. The total cost for management of acute diarrhea in Thailand in 2010 was 905,784,298 baht or 30,035,807 USD for 214,722 admissions.
Conclusions: Acute diarrheal diseases accounted for 26% of the digestive diseases in the 2010 Thai nationwide data with high expenditure.
- 出版日期2016
