2010-2020年肺胸部趋势从一个大体积的肺单元
James Hyman1, Umair Falak1, Claire Storey1
1Respiratory Department, Northumbria Healthcare NHS Foundation Trust, Northumbria Way, Cramlington, NE23 6NZ, Northumberland, UK.
Pulmonary therapy
|July 6, 2023
概括
这项研究分析了英格兰东北部肺胸病的趋势,发现二次肺胸病 (SSP) 发病率不断增加,并将管理转向对初级肺胸病 (PSP) 的保守方法. 对于PSP来说,复发率正在增加,但对于SSP来说,复发率正在下降.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 流行病学 流行病学
背景情况:
- 之前的研究表明,住院患者负担越来越大,肺胸病的治疗方法也变化不一.
- 肺胸病呈现和管理的本地趋势仍未得到充分探索.
- 诺森布里亚医疗保健NHS基金会信托基金会 (NHCT) 提供了一个适合于本地趋势分析的环境,因为它已建立的脏服务.
研究的目的:
- 调查肺胸部呈现的局部趋势.
- 分析管理策略的变化,停留时间和复发率.
- 为英格兰东北部的一家大型医疗保健信托提供特定数据.
主要方法:
- 在2010年至2020年期间,NHCT对580例肺胸病例 (183例初级病例,397例二级病例) 的回顾性分析.
- 从初始编码搜索结果中排除催化剂,创伤和儿科病例.
- 收集有关患者人口统计,管理,停留时间和复发情况的数据.
主要成果:
- 二次性肺胸炎 (SSP) 发病率呈上升趋势,而初级肺胸炎 (PSP) 发病率呈下降趋势.
- 停留时间的中位数在PSP和SSP都下降了.
- PSP的管理转向了保守的方法,愿望减少,而PSP的复发率增加,SSP的复发率下降.
结论:
- 这项研究提供了首次对英格兰东北部肺胸病趋势的本地分析.
- 局限性包括肺胸部大小和脆弱性缺失的数据,以及依赖临床编码.
- 建议使用更大的数据集进行进一步的研究,以更好地了解肺胸的趋势.
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