患有慢性阻塞性肺病的患者的医疗保健利用情况 由于冠状病毒而出院 2019年住院治疗
Daniel Puebla Neira1, Mohammed Zaidan2, Shawn Nishi2
1Division of Pulmonary, Critical Care and Sleep Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
International journal of chronic obstructive pulmonary disease
|August 28, 2023
概括
由于COVID-19而住院的慢性阻塞性肺病 (COPD) 患者在出院后面临更高的医疗保健利用率. 这包括急诊,再入院和住院时间的增加,突出显示COVID后COPD患者的重大负担.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有慢性阻塞性肺病 (COPD) 的患者在感染SARS-CoV-2后可能面临更高的医疗利用率 (HCU).
- 了解出院后的HCU对于在COVID-19住院后管理COPD患者至关重要.
研究的目的:
- 为了确定COPD是否独立预测COVID-19住院后HCU增加.
- 量化COPD与各种出院后的HCU指标之间的关联.
主要方法:
- 这是一项回顾性队列研究,使用了Optum的Clinformatics® Data Mart数据库.
- 包括2020年4月至2021年3月期间住院治疗COVID-19 (ICD-10-CM代码U07.1) 的患者.
- 通过Poisson回归,评估HCU (ED访问,再入院,SNF,门诊,远程医疗) 出院后9个月.
主要成果:
- 分析了160,913例COVID-19住院病例的队列;14622人 (25.3%) 患有COPD.
- 慢性肺炎患者在出院后出现明显增加的HCU,包括更高的ED访问率 (RR 1.57),再入院率 (RR 1.50) 和SNF停留率 (RR 1.18).
- 年轻的患者,女性和患有慢性肺炎的西班牙裔患者在出院后的HCU风险不成比例地高.
结论:
- 由于COVID-19而住院的COPD患者在出院后的9个月内经历了大幅增加的医疗保健利用率.
- 慢性肺炎是一种独立的风险因素,可增加COVID-19后出院后的HCU.
- 针对性干预可能是必要的高风险的COPD患者COVID-19后康复的子组.
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