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Risk Factors Associated With Death in a 12-Month Cohort Analysis of Tuberculosis Patients: 12-Month Follow-up After Registration

机译:结核病患者12个月队列分析中与死亡相关的危险因素:注册后12个月的随访

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摘要

The aim of the study was to investigate the risk of death for 12 months follow-up after registration of tuberculosis (TB), using a nationwide population-based retrospective cohort study. A total of 33 851 new TB cases were enrolled from 2006 to 2008. Of these, 5584 (16.5%) patients died during the follow-up period because of TB, and 4224 (12.5%) patients died because of other causes. Multivariate survival analysis revealed that age, HIV, chronic kidney disease, stroke, cancer, and chronic liver disease and cirrhosis were significant risk factors associated with death. Patients of age 0 to 64 years with HIV, chronic kidney disease, cancer, stroke, chronic liver disease and cirrhosis, or diabetes had a higher risk of death than those without these comorbidities. The majority of the TB patients in Taiwan died because of causes other than TB, and death often occurred in the first 2 months after TB registration. Therefore, medical care and case management for those with comorbidities are advised to prevent death during TB treatment.
机译:该研究的目的是使用一项基于全国人群的回顾性队列研究,调查结核病(TB)注册后12个月随访中的死亡风险。从2006年到2008年,总共招募了33851例新的结核病病例。其中,随访期间有5584例(16.5%)患者死于结核病,有4224例(12.5%)患者死于其他原因。多元生存分析表明,年龄,HIV,慢性肾脏病,中风,癌症以及慢性肝病和肝硬化是与死亡相关的重要危险因素。与没有这些合并症的患者相比,患有HIV,慢性肾脏病,癌症,中风,慢性肝病和肝硬化或糖尿病的0至64岁患者的死亡风险更高。台湾的大部分结核病患者因结核病以外的原因死亡,并且死亡通常发生在结核病登记后的前两个月。因此,建议对合并症患者进行医疗护理和病例管理,以防止结核病治疗期间死亡。

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