Volume 20 Issue 12
Dec.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2143-2146
XIE Ren-wei, WANG Zhao-xin, LI Yun-xia, SHEN Yu, HE Lin, SHI Jian-wei, JIANG Li-qiu, SHI Bao-ping, XIAO Jie-wen. Big data mining analysis of the clinical characteristics and direction in seeking medical service of cough patients in regional medical centres[J]. Chinese Journal of General Practice, 2022, 20(12): 2143-2146. doi: 10.16766/j.cnki.issn.1674-4152.002789
Citation: XIE Ren-wei, WANG Zhao-xin, LI Yun-xia, SHEN Yu, HE Lin, SHI Jian-wei, JIANG Li-qiu, SHI Bao-ping, XIAO Jie-wen. Big data mining analysis of the clinical characteristics and direction in seeking medical service of cough patients in regional medical centres[J]. Chinese Journal of General Practice, 2022, 20(12): 2143-2146. doi: 10.16766/j.cnki.issn.1674-4152.002789
shu

Big data mining analysis of the clinical characteristics and direction in seeking medical service of cough patients in regional medical centres

doi: 10.16766/j.cnki.issn.1674-4152.002789
  • 1.

    Science and Education Section Department of Shanghai Baoshan District Renhe Hospital, Shanghai 200431, China

Funds:

 2019PJC072

 20184Y0117

 19-E-10

  • Received Date: 2021-06-09
    Available Online: 2023-02-07
    Abstract
  •   Objective  To analyse the clinical characteristics and direction in seeking medical service of patients with cough symptoms in regional medical centres, understand the clinical characteristics of cough patients, provide epidemiological basis for related clinical research, and offer a reference for regional medical centres to optimise the triage of cough patients.  Methods  This study collected three-year outpatient data of a regional medical centre in Shanghai from January 1, 2017 to December 31, 2019 and analysed the symptoms, main diagnosis and direction in seeking medical service of patients with cough symptoms.  Results  A total of 110 240 outpatients with cough symptoms were received from 2017 to 2019, accounting for 5.85% of the total outpatients. The number and proportion of outpatients with cough symptoms showed an increasing trend. The average age of patients was 51.0 (21.5, 64.0) years old, with 57 868 female (52.49%) and 52 372 male (47.51%) patients. The proportion of female patients was higher than that of male (χ2=274.002, P < 0.001). According to the classification of cough duration, 94.07% (103 702) had acute cough (cough time < 3 weeks), 3.03%(3 343) had subacute cough (cough time 3-8 weeks), and 2.90% (3 195) had chronic cough (cough time > 8 weeks). The distributions of different types of coughs in age and gender groups differed (all P < 0.05). The top three associated symptoms of cough patients were expectoration, fever and runny nose. The top three main diagnoses were respiratory tract infection, acute pharyngitis and acute upper respiratory tract infection. The distributions of cough associated symptoms and main diagnosis in different cough types and different age groups were different. In addition, the main departments receiving patients with cough were Emergency Department, Paediatrics and Respiratory Medicine.  Conclusion  The number of outpatients with cough symptoms shows an increasing trend, and the distributions of different types of coughs in the population group is different.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    龚雪, 牟方政, 魏大荣, 等. 225例新型冠状病毒肺炎的临床特征及中医药应用分析[J]. 世界中医药, 2020, 15(6): 819-826. doi: 10.3969/j.issn.1673-7202.2020.06.002

    GONG X, MOU F Z, WEI D R, et al. The Clinical Characteristics and Medication Analysis of Corona Virus Disease 2019[J]. World Chinese Medicine, 2020, 15(6): 819-826. doi: 10.3969/j.issn.1673-7202.2020.06.002
    [2]
    楚辉, 张杰. 呼出气一氧化氮检测在亚急性咳嗽临床诊治中的意义[J]. 河北医学, 2022, 28(5): 847-852. doi: 10.3969/j.issn.1006-6233.2022.05.031

    CHU H, ZHANG J. Significance of Exhaled Nitric Oxide in Clinical Diagnosis and Treatment of Subacute Cough[J]. Hebei Medicine, 2022, 28(5): 847-852. doi: 10.3969/j.issn.1006-6233.2022.05.031
    [3]
    中华医学会呼吸病学分会哮喘学组. 咳嗽的诊断与治疗指南(2015)[J]. 中华结核和呼吸杂志, 2016, 39(5): 323-354. doi: 10.3760/cma.j.issn.1001-0939.2016.05.003

    Asthma Group of Chinese Thoracic Society. Chinese national guideline on diagnosis and management of cough(2015)[J]. Chinese Journal of Tuberculosis and Respiratory Diseases, 2016, 39(5): 323-354. doi: 10.3760/cma.j.issn.1001-0939.2016.05.003
    [4]
    CHEN R J, YIN P, MENG X, et al. Fine particulate air pollution and daily mortality. A nationwide analysis in 272 Chinese cities[J]. Am J Respir Crit Care Med, 2017, 196(1): 73-81. doi: 10.1164/rccm.201609-1862OC
    [5]
    汪锋, 刘辛. 空气污染与呼吸系统疾病发病率的关系分析[J]. 重庆大学学报, 2021, 44(4): 97-106. https://www.cnki.com.cn/Article/CJFDTOTAL-FIVE202104010.htm

    WANG F, LIU X. The relationship of air pollution and respiratory diseases: Evidence from micro data of a hospital in Chongqing[J]. Journal of Chongqing University, 2021, 44(4): 97-106. https://www.cnki.com.cn/Article/CJFDTOTAL-FIVE202104010.htm
    [6]
    王道涵, 周霈炀, 蒋晨茜, 等. 大气细颗粒物对呼吸系统的影响[J]. 科技视界, 2021(6): 103-104. https://www.cnki.com.cn/Article/CJFDTOTAL-KJSJ202106040.htm

    WANG D H, ZHOU P Y, JIANG C Q, et al. Effects of atmospheric fine particulate matter on the respiratory system[J]. Science & Technology Vision, 2021(6): 103-104. https://www.cnki.com.cn/Article/CJFDTOTAL-KJSJ202106040.htm
    [7]
    李沛. 北京市大气颗粒物污染对人群健康的危害风险研究[D]. 兰州: 兰州大学, 2016.

    LI P. Study on hazard risk of atmospheric particulate matter to the population health in Beijing[D]. Lanzhou: Lanzhou University, 2016.
    [8]
    徐荣, 詹晨, 刘家兴, 等. 广州地区呼吸专科门诊咳嗽症状分布调查[J]. 中国呼吸与危重监护杂志, 2017, 16(5): 495-499. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGHW201705025.htm

    XU R, ZHAN C, LIU J X, et al. A survey on distribution of cough symptom in outpatients from respirologist in Guangzhou[J]. Chinese Journal of Respiratory and Critical Care Medicine, 2017, 16(5): 495-499. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGHW201705025.htm
    [9]
    李婧辰. 我国40岁及以上人群咳嗽、咳痰现况及影响因素研究[D]. 北京: 中国疾病预防控制中心, 2017.

    LI J C. Prevalence and influencing factors of respiratory symptoms among people aged 40 years and above in China[D]. Beijing: Chinese Center for Disease Control and Prevention, 2017.
    [10]
    王贤诚, 刘桂萍, 张星亮, 等. 支气管镜下气道炎症状态评估在慢性咳嗽患儿中应用[J]. 中华实用诊断与治疗杂志, 2018, 32(6): 545-547. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201806007.htm

    WANG X C, LIU G P, ZHANG X L, et al. Application of bronchoscopic evaluation of airway inflammation in children with chronic cough[J]. Journal of Chinese Practical Diagnosis and Therapy, 2018, 32(6): 545-547. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201806007.htm
    [11]
    张娜莉, 马原, 田玉恆, 等. 583例慢性咳嗽病例特征及影响因素分析[J]. 华南预防医学, 2021, 47(6): 791-793. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202106024.htm

    ZHANG N L, MA Y, TIAN Y H, et al. An analysis of the characteristics and influencing factors of 583 patients with chronic cough[J]. South China Journal of Preventive Medicine, 2021, 47(6): 791-793. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202106024.htm
    [12]
    LIU Q, XU C, JI G X, et al. Effect of exposure to ambient PM2.5 pollution on the risk of respiratory tract diseases: A meta-analysis of cohort studies[J]. J Biomed, 2017, 31(2): 130-142.
    [13]
    周艳, 王越, 陈信. 217例儿童慢性咳嗽病因构成及临床特征研究[J]. 中华全科医学, 2020, 18(1): 19-22, 55. doi: 10.16766/j.cnki.issn.1674-4152.001157

    ZHOU Y, WANG Y, CHEN X. Ratio of component causes and clinical features of chronic cough: a report of 217 cases[J]. Chinese Journal of General Practice, 2020, 18(1): 19-22, 55. doi: 10.16766/j.cnki.issn.1674-4152.001157
    [14]
    蔡光云, 蔡燕君, 周晓燕, 等. 老年慢性咳嗽的病因诊断与治疗分析[J]. 中国处方药, 2021, 19(2): 167-168. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCF202102090.htm

    CAI G Y, CAI Y J, ZHOU X Y, et al. The etiological diagnosis and treatment analysis of chronic cough in the elderly[J]. Journal of China Prescription Drug, 2021, 19(2): 167-168. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCF202102090.htm
    [15]
    王荣花. 综合心理护理干预对老年咳嗽变异性哮喘患者的影响[J]. 心理月刊, 2021, 16(11): 163-164. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202111080.htm

    WANG R H. Efficacy of comprehensive psychological nursing intervention on elderly patients with cough variant asthma[J]. Psychologies Magazine, 2021, 16(11): 163-164. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202111080.htm
    [16]
    卢彦帮, 陈宏. 成人常见咳嗽原因的临床分析[J]. 医学综述, 2018, 24(11): 2216-2220. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZS201811027.htm

    LU Y B, CHEN H. Clinical analysis of causes of common cough in adults[J]. Medical Recapitulate, 2018, 24(11): 2216-2220. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZS201811027.htm
    [17]
    王怀于. 分析成人慢性咳嗽的病因, 探讨其诊断与治疗[J]. 中西医结合心血管病电子杂志, 2020, 8(26): 177-181. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202026124.htm

    WANG H Y. Analysis of the causes of chronic cough in adults and discussion of its diagnosis and treatment[J]. Cardiovascular Disease Electronic Journal of integrated traditional Chinese and Western Medicine, 2020, 8(26): 177-181. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202026124.htm
    [18]
    YI F, CHEN R C, LUO W, et al. Validity of fractional exhaled nitric oxide in diagnosis of corticosteroid responsive cough[J]. Chest, 2016, 149(4): 1042-1051.
    [19]
    LAI K F, LONG L, YI F, et al. Age and sex distribution of Chinese chronic cough patients and their relationship with capsaicin cough sensitivity[J]. Allergy Asthma Immunol Res, 2019, 11(6): 871-884.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (294) PDF downloads(10) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return