与年龄相关的风险差异以及状细胞疾病的成年人30天再入院的结果
Ming Chen1,2, Kenneth I Ataga3,4, Jane S Hankins4,5
1Institute of Health Outcomes and Policy, University of Tennessee Health Science Center, Memphis, TN, 38163, USA. mchen46@uthsc.edu.
Annals of hematology
|July 14, 2023
概括
患有状细胞疾病 (SCD) 的成年人面临高30天再入院率,特别是年轻人和患有血管闭塞危机或末期病 (ESRD) 的人. 针对年龄的具体干预措施对于更好的疾病管理和预防再入院至关重要.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于成年状细胞病 (SCD) 患者的30天再入院率,有有限的文献.
- 本研究通过检查该人口中的再接收率,风险因素和医疗保健利用率来解决这一差距.
研究的目的:
- 调查SCD成年人的30天再入院总和年龄分层率.
- 确定与再接收相关的关键风险因素.
- 分析与再接收相关的医疗保健资源利用情况.
主要方法:
- 使用全国再接收数据库 (2016) 的回顾性队列研究.
- 包括被诊断患有SCD的成年患者 (≥18岁).
- 用后勤回归模型对30天所有原因的无计划再入院率进行分析,按年龄分层.
主要成果:
- 在15167名成年SCD患者中,18.9%的患者经历了再入院.
- 随着年龄的增长,再录取率和几率下降.
- 血管封闭性危机和末期病 (ESRD) 是重新入院的重要风险因素.
- 在年轻的成年人 (18-29岁) 中,抑郁症增加了再入院风险.
结论:
- 患有SCD的成年人面临30天再入院的高风险.
- 年轻的成年人和患有血管闭塞危机和ESRD的人面临着最高的风险.
- 开发多方面的,特定于年龄的干预措施对于SCD疾病管理和再接收预防至关重要.
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