https://scholars.lib.ntu.edu.tw/handle/123456789/566645
標題: | Epidemiologic features of Kawasaki disease in Taiwan, 1996-2002 | 作者: | LUAN-YIN CHANG Chang I.-S. CHUN-YI LU BOR-LUEN CHIANG CHIN-YUN LEE PEI-JER CHEN JIN-TOWN WANG HONG-NERNG HO DING-SHINN CHEN LI-MIN HUANG |
公開日期: | 2004 | 出版社: | American Academy of Pediatrics | 卷: | 114 | 期: | 6 | 起(迄)頁: | e678-e682 | 來源出版物: | Pediatrics | 摘要: | Objective. Kawasaki disease (KD) is the most common acquired heart disease in children worldwide. The incidence of KD varies among different countries, with Asian countries supposedly having higher incidences than Western countries. However, the incidence of KD in Taiwan has not been well investigated. Methods. Since the implementation of Taiwan's National Health Insurance (NHI) in 1995, NHI has covered health care for >96% its population. Using the NHI database from 1996 to 2002, we investigated epidemiologic features of KD (International Classification of Diseases, Ninth Revision, code 446.1), the rate of coronary artery aneurysm formation (International Classification of Diseases, Ninth Revision, code 414.11), and the change in incidence during the recent 7 years. We also compared the annual incidences in Taiwan with those reported by other countries. Results. During the 7-year study period, KD occurred most frequently in the summer and least frequently in winter. It is interesting that the highest peak occurred in the summer of 1998 at the same time that Taiwan's enterovirus 71 epidemic was occurring. Ninety-one percent of KD cases occurred in children who were <5 years old, and the male-to-female ratio was 1.70:1. Recurrence of KD was found in 1.3% (94 of 7305) of these children, and coronary artery aneurysm was found in 7.3% (536 of 7305). The annual incidence per 100 000 children was 146 in children <1 year old, 98 in 1-year-old children, 51 in 2-year-old children, 28 in 3-year-old children, 19 in 4-year-old children, and 5.3 in 5- to 9-year-old children; the incidence of KD decreased with increased age. The overall incidence was 66 cases per 100 000 children <5 years old from 1996 to 2002 with the annual incidence not differing significantly during the 7-year study period. Conclusions. KD in Taiwan occurs more frequently in boys and in the summer months. During the 7-year study period, the annual KD incidence in Taiwan of 66/100000 in children <5 years old was the second highest in the world after Japan. Copyright ? 2004 by the American Academy of Pediatrics. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-16644365210&doi=10.1542%2fpeds.2004-0726&partnerID=40&md5=95565e87e8b40432cbd05e6e39992da7 https://scholars.lib.ntu.edu.tw/handle/123456789/566645 |
ISSN: | 0031-4005 | DOI: | 10.1542/peds.2004-0726 | SDG/關鍵字: | article; child; controlled study; coronary artery aneurysm; data base; disease classification; Enterovirus 71; epidemic; female; groups by age; human; incidence; infant; major clinical study; male; mucocutaneous lymph node syndrome; national health insurance; priority journal; recurrent disease; seasonal variation; sex ratio; summer; Taiwan; virus infection; winter; adolescent; age distribution; coronary artery aneurysm; economics; health care cost; hospitalization; length of stay; mucocutaneous lymph node syndrome; preschool child; season; statistics; Taiwan; Adolescent; Age Distribution; Child; Child, Preschool; Coronary Aneurysm; Female; Health Care Costs; Hospitalization; Humans; Incidence; Infant; Length of Stay; Male; Mucocutaneous Lymph Node Syndrome; Seasons; Sex Distribution; Taiwan |
顯示於: | 醫學系 |
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