【COPD英文PPT课件】Chronic obstructive pulmonary disease (COPD).ppt

【COPD英文PPT课件】Chronic obstructive pulmonary disease (COPD).ppt

《【COPD英文PPT课件】Chronic obstructive pulmonary disease (COPD).ppt》由会员分享，可在线阅读，更多相关《【COPD英文PPT课件】Chronic obstructive pulmonary disease (COPD).ppt（70页珍藏版）》请在冰豆网上搜索。

TableofContents,Slides,Sources,BreezingAM,WatsonDE,BlackC.Chronicconditionsandco-morbidityamongresidentsofBritishColumbia.Vancouver:

CentreforHealthServicesandPolicyResearch;2005.JohnsHopkinsBloombergSchoolofPublicHealth.TheJohnsHopkinsAdjustedClinicalGroups（ACG）Case-MixSystemReferenceManual.Version7.0.Baltimore:

TheJohnsHopkinsUniversity;2005.JohnsHopkinsBloombergSchoolofPublicHealth.TheJohnsHopkinsAdjustedClinicalGroups（ACG）Case-MixSystemTechnicalUserGuide.Version7.0.Baltimore:

TheJohnsHopkinsUniversity;2005.,Background:

ChronicdiseasesaffectasignificantnumberofCanadians;accountforalargeproportionofhealthcareserviceutilizationandassociateddirectandindirecthealthcarecosts;aremorecommonwithincreasingageandlowersocioeconomicstatus;areoftenassociatedwithmodifiableriskfactorssuchastobaccouse,unhealthydietandlackofphysicalactivity;aresubjecttodelayedonset;andareoftenconsideredtobepreventable.CentreforHealthServicesandPolicyResearch（CHSPR）attheUniversityofBritishColumbiaidentifiedeleven“high-impactand/orhigh-prevalence”chronicconditions.Combinationprevalenceandimpacthasimportantimplicationsfortheplanningandallocationofhealthcareresources.,Background（contd）:

UsedtheExpandedDiagnosisClusters（EDCs）JohnsHopkinsACGCase-MixSystem（version7.0）toolEstimated“treated”prevalenceinOntariofor2006/07for5ofthe11high-impactand/orhigh-prevalencechronicdiseases,including:

Degenerativejointdisease（osteoarthritis）Ischemicheartdisease（IHD）CardiacarrhythmiaChronicobstructivepulmonarydisease（COPD）CerebrovasculardiseasePrevalenceratesforotherchronicconditions（diabetes,asthma,cancer,congestiveheartfailureandhypertension）notreportedusingtheACGSystemalreadybeingmeasured,orwillbemeasuredinthenearfuture,usingvalidatedalgorithmsdevelopedbyICESandCancerCareOntario.,Methodology:

Fiscalyear2006/07Cohort=Ontarians（derivedfromtheRegisteredPersonsDatabaseRPDB）EDCalgorithmappliedtoCanadianInstituteforHealthInformationsDischargeAbstractDatabase（CIHI-DAD）andOntarioHealthInsurancePlan（OHIP）recordsoveratwo-yearperiod（April1,2005toMarch31,2007）AlgorithmmappedCIHI-DADandOHIPtothefollowingEDCs:

Degenerativejointdisease:

MUS03Ischemicheartdisease（excludingacutemyocardialinfarction）:

CAR03Cardiacarrhythmia:

CAR09Emphysema,chronicbronchitis,COPD:

RES04Cerebrovasculardisease:

NUR05,Exclusions:

Personslessthan20yearsofage（lessthan35yearsofageforcalculationofCOPDrates）Out-of-provinceresidentsRecordswithmissing/invalidage,sex,and/orLHINinformationIndividualswhodiedorwhosedateoflastcontactwiththehealthcaresystemwasgreaterthan5yearsPopulationestimates（asofApril1,2006）werecalculatedusingtheRPDB.Age-andsex-adjustedprevalencerateswerestandardizedusingOntarios2001censuspopulation.Neighbourhoodmedianhouseholdincomerankedbyquintiles（obtainedfromStatisticsCanadacensusdata）usedasestimateofsocioeconomicstatus（SES）,Methodology（contd）:

Osteoarthritis（degenerativejointdisease）,MostcommonformofarthritisCausesbreakdownofcartilage（coversandprotectstheendsofbonesinjoints）Commonlyaffectsjointsinthehands,feetandspineandlargeweight-bearingjoints（hipsandknees）causingpain,swelling,stiffness,reducedrangeofjointmotion,disabilityineverydaylivingactivitiesandmobilityGreaterriskforindividualsthatareolder,overweight,haveafamilyhistoryofosteoarthritisand/orpreviousjointinjuryNocure;treatments（e.g.,medication,exercise,physiotherapy,weightloss）canincreasejointmobilityanddecreasepainanddisability.Inseverecases,surgerymaybeperformedtoreplacetheentirejoint,especiallythehiporknee.,KeyFindings:

Osteoarthritis,Overallprevalencerates（2006/07）In2006/07,littlevariationinprevalenceratesamongLHINsTwelveoutof14LHINprevalencerateswerewithin10%oftheOntariorate（9.3per100persons）.Highest（11.3per100persons）andlowest（7.6per100persons）rateswereobservedintheErieSt.ClairandWaterlooWellingtonLHINs,respectively.,Age-andsex-adjustedprevalencerateofosteoarthritisper100Ontariansaged20yearsandolder,2006/07,ByLocalHealthIntegrationNetwork（LHIN）inOntario,Age-andsex-adjustedprevalencerateofosteoarthritisper100Ontariansaged20yearsandolder,bysub-LHINplanningarea,2006/07LHIN1（ErieSt.Clair）vs.Ontario,KeyFindings（contd）:

Osteoarthritis,Prevalenceratesbysexand/oragegroup（2006/07）RatesformenandwomeninOntarioincreasedwithage,levelingoffafter74yearsofage.Forwomen,thoseaged7584hadhighestprevalencerates;formen,rateswerehighestinthe85+agegroup.Forbothmenandwomen,5064agegrouphadhighestvolume（numberofcases）.Acrossallagegroups,prevalenceratesconsistentlyhigherinwomenthaninmenattheOntariolevelandinmostof