预测建模和分析国家急诊部数据,以改善结石病患者的治疗结果
1Diagnostic Imaging, Health Informatics, Quinnipiac University, Hamden, USA.
Cureus
|July 14, 2023
概括
结石 (结石) 影响了许多人,刺激性肠综合征 (IBS) 增加了两倍的干预需求. 这项研究分析了ED访问,确定了影响患者结果和护理成本的关键因素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结石 (结石) 是美国普遍存在的疾病,与严重的发病率和医疗费用有关.
- 确定的风险因素包括环境影响,代谢状况和胃肠道疾病,如刺激性肠道综合征 (IBS).
- 有效的评估和预防策略依赖于实验室检测和诊断成像.
研究的目的:
- 根据人口统计和并发症,特别是IBS,调查结石病的患病率.
- 分析与结石相关的患者结果和医疗保健费用.
- 提供临床建议,以在急诊室 (ED) 进行全面的结石病患者评估.
主要方法:
- 从2012-2014年使用HCUP NEDS数据库对509,192次因结石而访问急诊室 (ED) 的回顾性分析.
- 使用ICD-9-CM代码用于结石,成像和程序;采用描述性统计和多重回归模型.
- 检查了变量之间的关系,共线性,以及对患者结果和成本的预测.
主要成果:
- 患有刺激性肠综合征 (IBS) 的患者被发现需要治疗结石病的医疗干预的可能性是两倍.
- 性别,诊断程序和治疗程序 (次要和主要) 是对护理总成本的统计学显著预测因素.
- 这些因素对结石病患者的整体结果产生了重大影响.
结论:
- 这项研究是第一个报告结石病患者的结果,考虑到年龄,性别和IBS并发症.
- 研究结果强调,IBS患者患有结石的干预可能性增加.
- 提供了加强ED评估石病患者的建议,包括并发症和结果预测.
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