Characteristics analysis of delayed hospital visits in elderly tuberculosis patients in Anji Countyï¼ Zhejiang Province
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 10
Abstract
ObjectiveTo characterize delayed visits of elderly patients with tuberculosis aged â¥60 years in Anji Countyï¼ Zhejiang Province from 2010 to 2021ï¼ and to provide evidence for the prevention and control of tuberculosis in elderly population.MethodsData of elderly patients with tuberculosis in Anji County from 2010 to 2021 were collected through the Tuberculosis Management Information System of National Information System for Disease Control and Prevention. Multivariate logistic regression model was used to determine the influencing factors of delayed visits.ResultsA total of 1 191 cases of elderly tuberculosis were reported in Anji County from 2010 to 2021ï¼ with an average annual incidence of 112.43/105ï¼ showing a decreasing trend ï¼Ï2trend=11.297ï¼ P=0.001ï¼. The male-to-female ratio was 2.29â¶1ï¼ the active detection rate was 0.34%ï¼ and the pathogen-positive rate was 50.63%. There were 718 cases of delayed hospital visitsï¼ with a median delay time of 19 days and a delayed visit rate of 60.29%ï¼ showing an increasing trend ï¼Ï2trend=6.651ï¼ P=0.01ï¼. Multivariate logistic regression analysis showed that local household registration status was a risk factor affecting the delayed visits for elderly tuberculosis patients ï¼OR=1.944ï¼ 95%CIï¼1.388â2.729ï¼.ConclusionThe elderly patients with tuberculosis are a key population for tuberculosis prevention and control. It is necessary to strengthen early diagnosis and treatmentï¼ improve the active detection rateï¼ reduce delayed hospital visitsï¼ so as to lower the risk of community transmission.
Authors and Affiliations
WU Xue,TIAN Lei,ZHANG Xiqin,CHEN Bin,
Keywords
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