有和没有先天性异常的儿童的抗喘处方:基于人口的研究
Natalie Divin1, Joanne Emma Given1, Joachim Tan2
1Institute of Nursing and Health Research, Faculty of Life and Health Sciences,Ulster University, Belfast, UK.
患有先天性异常的儿童面临更高的呼吸系统问题的风险,导致更多的抗喘药物处方. 这种增加的负担在早产婴儿和具有特定遗传条件的婴儿中尤为明显.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 临床流行病学临床流行病学
- 先天性异常研究研究先天性异常研究
背景情况:
- 先天性异常可能会影响呼吸系统的健康.
- 了解药物处方模式对于管理儿科呼吸道疾病至关重要.
研究的目的:
- 调查患有和没有先天性异常的儿童处方抗喘药物的风险.
- 为了确定特定的先天性异常类型和与增加呼吸道药物使用相关的因素.
主要方法:
- 一项基于人口的数据链接队列研究 (EUROlinkCAT),涉及超过170万名儿童.
- 链接的处方数据用于识别10岁以下儿童的抗喘处方 (ATC代码R03).
- 根据先天性异常状态,年龄,地区,药物类别,性别和妊娠年龄分析了处方率.
主要成果:
- 与基准儿童相比,患有先天性异常的儿童的抗喘处方风险比基准儿童高41%.
- 在所有地区和年龄组观察到风险增加,β-2激动剂和吸入性皮质类固醇的比率更高.
- 特定的异常 (食道缩,遗传/染色体综合征) 和早产 (<32周妊娠) 显著增加了处方风险.
结论:
- 患有先天性异常的儿童更容易出现呼吸道症状和呼吸困难.
- 带有先天性异常的早产婴儿在使用呼吸道药物的风险要大得多.
- 这些发现有助于临床医生识别需要有针对性的呼吸支持的高风险儿童.
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