Analysis of Mortality and Life Expectancy Determinants Among 5,791 Deceased Pneumoconiosis Patients — Jiangsu Province, China, 2011–2023  

作　　者：Hangju Zhu Lang Zhou Jinyi Zhou Lei Han Ming Wu 

机构地区：[1]Department of Epidemiology,School of Public Health,Nanjing Medical University,Nanjing City,Jiangsu Province,China [2]The Affiliated Cancer Hospital of Nanjing Medical University,Nanjing City,Jiangsu Province,China [3]Department of Occupation Disease Prevention and Cure,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing City,Jiangsu Province,China [4]Department of Noncommunicable Chronic Disease Control and Prevention,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing City,Jiangsu Province,China

出　　处：《China CDC weekly》2024年第52期1417-1424,共8页中国疾病预防控制中心周报（英文）

基　　金：Supported by the Jiangsu Provincial Science and Technology Plan Special Fund(Key R&D Program Social Development)Project(BE2022803).

摘　　要：Pneumoconiosis is the occupational disease with the highest proportion in China.This study conducted a retrospective analysis of 5,791 deceased pneumoconiosis patients.In this study,males comprised 93.02%of cases,with primary affected industries being mining(58.47%),manufacturing(20.55%),and public management(16.42%).Silicosis(69.42%)and coal worker’s pneumoconiosis(20.57%)were the predominant diagnoses.Most patients(66.47%)were diagnosed at stage one.Significant differences were observed in both diagnosis age and post-diagnosis survival time across disease stages(P<0.05).The proportion of patients who died directly from lung infections was the highest(37.32%).The primary underlying causes of death in pneumoconiosis patients include pulmonary infections,cardiovascular and cerebrovascular diseases,and digestive tract and lung tumors.Life expectancy for patients aged 30–35 years was 15.83 years.After excluding the effects of pulmonary infections,cardiovascular diseases,digestive tract tumors,and lung tumors,life expectancy increased by 3.75,1.11,1.31,and 0.63 years,respectively.Pneumoconiosis patients with concurrent lung tumors showed a 7.797-fold increased mortality risk,while pulmonary infections elevated mortality risk by 3.030-fold.Management strategies for pneumoconiosis should emphasize both primary disease treatment and comprehensive care for complications,particularly pulmonary infections,cardiovascular diseases,and malignancies.This integrated approach could extend survival time and enhance quality of life for affected patients.

关 键 词：diagnosis MORTALITY ELEVATED 

分 类 号：R563[医药卫生—呼吸系统] R13[医药卫生—内科学]