Recurring outbreaks of an infection apparently targeting immune function, and consequent unprecedented growth in medical admission and costs in the United Kingdom: a review.

作者: Rodney Jones

DOI: 10.9734/BJMMR/2015/14845

关键词:

摘要: Background: The National Health Service (NHS) in the UK has been beset by unprecedented growth emergency admissions to hospital which are specifically medical nature, while surgical and trauma only showing level of low expected from demographic change, or what is called ageing population. There never an adequate explanation for this dichotomy. An Infectious Basis: proposed infectious basis rests upon observation that occurs spurts occur approximately five years apart, albeit three between have also observed during 1990’s. It these driving long-term growth, rather than relatively minor interval spurts. These periods high characterized spikes all-cause mortality, typically result a 15% increases group specialties. However much higher seen particular conditions/diagnoses appear common Review Article Jones; BJMMR, 6(8): 735-770, 2015; no.BJMMR.2015.251 736 immune function via infection, inflammation autoimmunity. outbreaks can be across Europe, last commenced around Mar-02, Mar-05 Mar-10 with subsequent spread over next two years. middle had lowest increase deaths admissions. Implications: now overwhelming body evidence pointing recurring series infectious-like events. In UK, 2012/2013 outbreak led 45,000 extra 27 EU countries, each appears somewhere excess 467,000 deaths. tend earlier Denmark, Romania, Bulgaria Slovakia, they later Belgium, Greece Slovenia. Emphasis needs switch toward clinical studies screen population changes levels specific IgM IgG antibodies against range potential candidate organisms, post mortem examination tissues persons who die conditions such as neurological disorders including dementia Alzheimer’s; respiratory gastrointestinal tract diseases, cardio/vascular conditions. Conclusion: This new disease highly disruptive discovery involving fundamental health care policy, our understanding role exacerbation

参考文章(135)
H Joanna Jiang, Mika Nagamine, Chaya T Merrill, Trends in Elderly Hospitalizations, 1997–2004 Agency for Healthcare Research and Quality (US). ,(2006)
Oliver Blatchford, Mary Blatchford, Simon Capewell, Stan Murray, Emergency medical admissions in Glasgow: general practices vary despite adjustment for age, sex, and deprivation. British Journal of General Practice. ,vol. 49, pp. 551- 554 ,(1999)
D. M. Fleming, C. A. Norbury, D. L. Crombie, Annual and Seasonal Variation in the Incidence of Common Diseases ,(1991)
Rodney P Jones, Myths of ideal hospital size The Medical Journal of Australia. ,vol. 193, pp. 298- 300 ,(2010) , 10.5694/J.1326-5377.2010.TB03912.X
A. Volans, O. Blatchford, S. Capewell, M. Blatchford, Trends in emergency admissions. Shop floor experience suggests a rise. BMJ. ,vol. 319, pp. 1201- 1201 ,(1999) , 10.1136/BMJ.319.7218.1201
Lawrence Corey, Robert J. Rubin, Michael A.W. Hattwick, Gary R. Noble, Edward Cassidy, A nationwide outbreak of Reye's syndrome The American Journal of Medicine. ,vol. 61, pp. 615- 625 ,(1976) , 10.1016/0002-9343(76)90139-X
Jan A. Wiegand, Christian Torgersen, Stefan Bloechlinger, Jukka Takala, Martin W. Dünser, Influenza A(H1N1) infection and severe cardiac dysfunction in adults: A case series Wiener klinische Wochenschrift. ,vol. 123, pp. 120- 123 ,(2011) , 10.1007/S00508-010-1520-0
Georgios Lyratzopoulos, Daniel Havely, Islay Gemmell, Gary A Cook, Factors influencing emergency medical readmission risk in a UK district general hospital: A prospective study BMC Emergency Medicine. ,vol. 5, pp. 1- 9 ,(2005) , 10.1186/1471-227X-5-1