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在使用VA医疗保健的退伍军人中诊断超声症的流行率
Sarah M Theodoroff1,2, Kelly M Reavis1,3, Seth D Norrholm4
1VA RR&D, National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, Oregon, USA.
Ear and hearing
|September 27, 2023
概括
寻求治疗的退伍军人中超声症诊断的患病率较低 (0.06%),与PTSD或TBI等疾病并发时的可能性更高. 需要标准化的诊断方法.
科学领域:
- 听力学 听力学是指听力学.
- 退伍军人健康 退伍军人的健康
- 流行病学 流行病学
背景情况:
- 声音过敏,一种声音不耐受的情况,影响了许多人.
- 了解它在退伍军人等特定人群中的流行率对于有针对性的医疗保健至关重要.
- 伴随性疾病可能会影响超声障诊断率.
研究的目的:
- 估计在寻求治疗的退伍军人中超声诊断的流行率.
- 检查超声症诊断与常见的并发症之间的关联.
主要方法:
- 从2015年1月到2021年7月,使用退伍军人电子健康记录 (EHR) 的回顾性观察研究.
- 国际疾病分类 (ICD) 诊断代码被用于识别超声症和并发性疾病.
主要成果:
- 发现超声症诊断的患病率为0.06%.
- 患有耳,创伤后应激障碍 (PTSD),头痛或创伤性脑损伤 (TBI) 的退伍军人获得超声障碍ICD代码的可能性是2-7倍.
结论:
- 基于EHR的超声症诊断的流行率明显低于现有文献报告的水平.
- 缺乏标准化诊断方法和编码二次诊断的不确定性可能导致低估.
- 增加临床和研究对超声障的关注是必要的.
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