儿科复发性croup的临床表现:对诊断的影响
Raymond J So1, Zechariah Franks1, Mana Espahbodi1
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
经常出现的病影响儿童,常见的是咳和. 男性患者出现了更多的发作,而少数民族儿童则面临呼吸障碍和上呼吸道感染前兆的更高风险.
科学领域:
- 儿科 儿科 儿科
- 呼吸系统医学 呼吸系统医学
- 临床研究 临床研究
背景情况:
- 复发性是经常发生的儿科疾病,在医学文献中缺乏详细的描述.
- 了解其人口结构和临床过程对于有效管理至关重要.
研究的目的:
- 在一个大规模的北美儿科队列中描述反复发生的.
- 确定与复发性相关的人口和临床因素.
主要方法:
- 对于114名儿科患者的回顾性分析,诊断出他们在第三级护理学术中心患有复发性.
- 评估人口统计数据,临床表现和症状解决模式.
主要成果:
- 发性咳 (86.0%) 和吸入性 (60.5%) 是普遍存在的症状.
- 男性患者报告的先前发作次数明显高于女性 (P = .03).
- 种族/少数民族患者出现呼吸障碍 (OR:58.6) 和URI前发症 (OR:7.6) 的风险增加.
结论:
- 这项研究提供了北美最大的重复性形系列,突出了关键症状和人口统计差异.
- 研究结果表明,特定的子群体,如男性和种族/民族少数群体,可能会经历不同的临床轨迹,需要量身定制的关注.
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