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To analyze adverse outcomes and influencing factors of elderly pulmonary tuberculosis patients in Guizhou Province and to provide a scientific basis for effective treatment of elderly pulmonary tuberculosis patients.
The medical records information of elderly pulmonary tuberculosis patients aged 65 and above in Guizhou Province from January 1, 2011, to December 31, 2022, was extracted from the Tuberculosis Monitoring Report Management Information System. The time trend of adverse outcomes was analyzed using the chi-square trend test, inter-group comparison was conducted using the chi-square test, and binary logistic regression was employed to analyze influencing factors.
From 2011 to 2022, 10,820 elderly patients with pulmonary tuberculosis had adverse outcomes in Guizhou Province, with an adverse outcome rate of 12.91%. The rate of adverse outcomes increased from 2011 to 2015 (, P<0.001), and decreased from 2016 to 2022 (
, P<0.001). Regarding regional distribution, Bijie City had the highest rate of adverse outcomes, and TongrenCity had the lowest rate (χ2=808.188, P<0.001)..The results of multivariate analysis showed that compared with the patients who were female, ethnic minorities, 65-69 years old, without comorbidities, newly treated, pathogenic negative, and without other tuberculosis, the patients were more likely to develop tuberculosis. Male (OR=1.323,95%CI=1.267-1.380), Han ethnic group (OR=1.168,95%CI= 1.117-1.222), 70-74 years old (OR=1.244,95%CI=1.181-1.310), 75-79 years old (OR=1.612,95%CI=1) 525-1.704), ≥80 years old (OR=2.322,95%CI=2.178-2.476), comorbidities (OR=1.261,95%CI=1.179-1.348), retreatment (OR=1.526,95%CI=1.423-1.636), positive pathogen (OR=1.244, 95%CI= 1.181-1.310) and other tuberculosis (OR=1.245,95%CI=1.161-1.336) were risk factors for poor outcomes.
Since the implementation of the "13th Five-Year Plan" for tuberculosis prevention and treatment, the adverse outcome rate of elderly tuberculosis patients in Guizhou Province has shown a gradual decreasing trend, but the distribution of the adverse outcome rate is uneven, which suggests that we need to continue to maintain a high degree of vigilance and strengthen preventive and control measures.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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