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皮肤性狼住院病例的分析:美国全国人口研究
Emily He1, Christopher Hino1, Osaigbokan Aihie2
1Internal Medicine, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|June 14, 2023
概括
与全身性红斑狼 (SLE) 患者相比,皮肤性红斑狼 (CLE) 患者的住院治疗显示出不同的人口和风险概况. 监测心血管风险,感染和心理健康对于CLE患者护理至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 类风湿病学 类风湿病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有限的研究存在于专门针对皮肤性红斑狼 (CLE) 的住院治疗.
- 了解CLE住院情况对于改善患者的治疗结果和资源配置至关重要.
研究的目的:
- 分析人口统计,常见的住院原因和CLE患者的结果.
- 为了比较CLE和全身性红斑狼 (SLE) 队列之间的这些因素.
主要方法:
- 使用了国家 (全国) 住院患者样本 (NIS) 数据库 (2016-2019).
- 使用ICD-10代码,提取了成人CLE和SLE患者的数据.
- 采用了奇平方测试和多变量逻辑/线性回归分析.
主要成果:
- CLE患者年龄较大,较少是女性,主要是白人,住宿时间较短,费用低于SLE患者.
- 心血管风险在CLE患者中更为普遍,败血症,心血管疾病和精神健康障碍是主要入院原因.
- 与SLE队列不同的是,CLE队列主要有医疗保险.
结论:
- 患有CLE的住院病例呈现出独特的人口统计和并发症模式.
- 对CLE患者的门诊随访应优先考虑心血管风险监测,感染查和心理健康评估.
- 积极的管理可以减少CLE患者的住院和医疗保健资源利用率.
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