在肝硬化患者中,三十天的再入院在很大程度上是无法预防的
Eric S Orman1, Archita P Desai1, Marwan S Ghabril1
1Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
肝硬化患者的再入院是常见的,但大多数是可以预防的. 可预防性再入院的关键因素包括炎管理问题,肝脏脑病治疗和健康的社会决定因素.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 对于肝硬化患者来说,再入院是很重要的关注点.
- 了解这些再入院的可预防性对于改善患者的治疗结果和降低医疗保健成本至关重要.
研究的目的:
- 确定肝硬化患者可预防的再入院病例的发生率,原因和风险因素.
主要方法:
- 一项前性队列研究对654名肝硬化患者进行了6年的研究.
- 三位独立审查员对重新接收的可预防性进行了裁决.
- 多项逻辑回归确定了与可预防的再录取相关的因素.
主要成果:
- 38%的患者在30天内重新入院,12%被认为是可以预防的.
- 常见的原因包括肝脏脑病,胃肠道出血,急性损伤和.
- 可预防的再接收与种族/少数民族身份,未婚身份和最近的先前入境有关.
结论:
- 虽然大多数肝硬化再入院是无法预防的,但那些往往源于管理瘤和肝脏脑病变的问题.
- 针对健康的社会决定因素和改善护理协调的干预措施可能会减少该人口中可预防的再入院.
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