一个多中心的回顾性数据库对被诊断患有小头炎的儿科患者的评估
Lauren Mazur1, Zizhong Tian2, Katherine Shedlock3
1Pennsylvania State University College of Medicine, Hershey, PA, USA.
The Permanente journal
|September 29, 2023
概括
这项研究发现,在儿科 tinea capitis 病例中,诊断测试和健康社会决定因素 (SDOH) 代码的使用不足. 黑人和"其他"种族的患者尽管有紧急诊断,但接受了更多的双重治疗.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 头炎是一种常见的儿科真菌感染,与社会经济因素有关.
- 之前没有美国研究将 tinea capitis 诊断与健康社会决定因素 (SDOH) 代码联系起来.
- 在儿科 tinea capitis 治疗中的种族差异需要调查.
研究的目的:
- 分析儿科 tinea capitis 的诊断和治疗模式.
- 评估SDOH诊断码的使用频率.
- 识别 tinea capitis 管理中的潜在种族差异.
主要方法:
- 对已被删除的儿科 tinea capitis 数据 (0-18岁) 的回顾性分析.
- 使用了TriNetX电子健康记录数据库.
- 评估的人口统计,SDOH代码,药物和程序代码.
主要成果:
- 确认性测试 (5.5%),双重治疗 (25.2%) 和SDOH代码 (5.5%) 的使用率较低.
- 被归类为黑人或"其他"的患者有较少的门诊接触,但双重治疗率较高.
- 在遭遇类型和治疗方法中观察到的种族差异.
结论:
- 诊断测试,双疗法和SDOH代码在儿科 tinea capitis 中未得到充分利用.
- 黑人和"其他"种族的患者表现出不同的遭遇模式,但增加了双重治疗.
- 需要进一步的研究来改善头炎的管理,并了解SDOH的联系.
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