喘药物使用和医疗保健利用在流行病时期的演变
Lisa Ulrich1,2,3, Joshua Yell4, Melissa Holtzlander1,2
1Pediatric Pulmonology Nationwide Children's Hospital Columbus, Columbus, Ohio, USA.
Pediatric pulmonology
|July 4, 2023
概括
冠状病毒疾病 (COVID-19) 流行病导致2021年儿科喘急诊室访问量增加. 这一激增与控制性喘药物处方的显著下降相吻合,这表明坚持问题可能是关键因素.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 新冠肺炎 (COVID-19) 疫情严重扰乱了儿科喘护理,最初导致医疗保健利用率下降.
- 了解疫情对喘管理的影响对于公共卫生至关重要.
研究的目的:
- 为了比较2020年和2021年之间的急诊部 (ED) 使用率和喘药物处方填充率.
- 为了评估COVID-19大流行后期儿科喘护理的变化.
主要方法:
- 对特定县的儿科医疗补助人口数据进行回顾性分析.
- 从2020年3月至12月的ED访问和处方填充率对控制器和快速缓解喘药物的比较,与2021年3月至12月的比较.
主要成果:
- 2021年与2020年相比,儿科喘ED使用率增加了46.7% (p=0.0371).
- 缓解药物填充量没有显著变化,但对照药物填充量显著下降 (p=0.0039).
- 在ED访问增加和控制器药物使用减少期间,发现病毒阳性率增加.
结论:
- 控制器药物坚持性降低可能解释COVID-19大流行后期儿科喘ED利用率的复苏.
- 这些发现突出了潜在的需要新的干预措施,以改善儿童喘患者的药物坚持.
- 尽管急救诊所访问量增加,但药物坚持不佳表明当前喘管理策略存在关键差距.
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