肺部恶化在保险患者与支气管切除症超过2年
Patrick A Flume1, Joseph Feliciano2, Matthew Lucci3
1Medical University of South Carolina, Charleston, SC, USA.
ERJ open research
|July 5, 2023
概括
支气管切除症患者的频繁恶化预测在两年内发生更多事件和住院治疗. 早期识别频繁的恶化因素是管理这种慢性呼吸道疾病的关键.
科学领域:
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 支气管病是一种慢性呼吸道疾病,其特征是持续的症状和频繁的肺部恶化.
- 了解恶化和相关住院的频率对于患者管理至关重要.
研究的目的:
- 调查支气管支气管切除症患者中恶化和全因住院的频率.
- 为了确定与经历频繁恶化在两年后续期间更高的可能性相关的基线因素.
主要方法:
- 这是一项使用IBM® MarketScan®索赔数据库进行的纵向,回顾性研究.
- 包括18岁及以上的患者,至少连续36个月的健康计划入学.
- 通过特定的住院病人的索赔或医疗保健相互作用而定义的恶化,其次是抗生素处方.
主要成果:
- 鉴定了14798名患有支气管切除症的患者;64.5%是女性,82.7%是55岁或以上.
- 在基线有两次或多次恶化显著增加了未来恶化的可能性 (OR 3.35和2.96).
- 由于各种原因而导致的住院率累计从第一年41.0%增加到两年内51.1%.
结论:
- 支气管切除症患者的频繁恶化与未来恶化的可能性增加有关.
- 住院率随着时间的推移而增加,患者经常经历恶化.
- 这些发现强调了监测和管理支气管切除症恶化频率的重要性.
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