聚髓炎/皮质髓炎再接收:对全国性再接收数据库的分析
Osahon Idolor1, Ehizogie Edigin2, Christopher Hino3
1Department of Internal Medicine, Piedmont Athens Regional, Athens, GA, USA.
Clinical rheumatology
|July 5, 2023
概括
近三分之一的多发性肌痛性风湿症 (PMR) 和皮肤肌炎 (DM) 患者在180天内重新入院. 多发性肌痛风湿症 (PMR) 和败血症是这些昂贵的再入院的主要驱动因素.
科学领域:
- 类风湿病学 类风湿病学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 有限的国家数据存在于美国的多质神经炎 (PM) 和皮肤神经炎 (DM) 再入院.
- 了解再接收模式对于改善患者的治疗结果和医疗保健效率至关重要.
研究的目的:
- 确定与PM/DM再入院相关的病率,原因和患者特征.
- 分析PM/DM再入院对美国医疗保健系统的经济影响.
主要方法:
- 对2018年全国再接收数据库 (NRD) 的分析.
- 包括主要诊断为PM/DM的成年患者,不包括选择性和创伤性再入院.
- 使用STATA 16进行统计分析,包括用于比较患者特征的千平方测试.
主要成果:
- 大约12%,21.5%和28.5%的PM/DM患者分别在30,90和180天内重新入院.
- 在所有时间段中,多髓炎 (PM) 和败血症是重新入院的最常见原因.
- 在2018年,30天的再入院造成了大约410万美元的医院费用和1518天的住院时间,再入院患者的并发病率和功能障碍得分较高.
结论:
- 住院的PM/DM患者中有很大一部分在六个月内面临重新入院.
- 对于PM/DM来说,再录取对医疗保健来说是一个巨大的财务负担.
- 针对多菌炎 (PM) 和败血症作为重新入院的主要原因,可以降低成本并改善患者的护理.
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