与大型卫生系统中患有喘的成年人中空气过敏原测试相关的因素
Patrick K Gleeson1, Knashawn H Morales2, Timothy M Buckey1
1Section of Allergy and Immunology, Division of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa.
The journal of allergy and clinical immunology. Global
|October 16, 2023
概括
对喘的空气过敏原检测是不常见的,但与较少的恶化有关. 专家访问和种族等因素会影响成人喘患者的检测率.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 对于个性化喘管理,空气过敏原检测至关重要.
- 患有喘的成年人中空气过敏原检测的流行率和影响因素尚未得到充分证实.
研究的目的:
- 为了调查与接受空气过敏原测试相关的因素,在患有喘的成年人中.
- 为了分析空气过敏原测试的结果.
- 为了确定测试对喘恶化率的影响.
主要方法:
- 使用电子健康记录进行的回顾性观察队列研究 (30,775名患有喘的成年人).
- 回归模型用于识别与测试相关的因素,测试结果和恶化措施的变化.
- 从2017年1月1日到2022年8月26日期间收集的数据.
主要成果:
- 只有7.2%的患者接受了空气过敏原检测.
- 检测与专家访问和之前的喘恶化 (ED访问/住院) 有关.
- 年龄较大降低了测试几率,而黑人种族增加了测试几率和积极结果.
结论:
- 空气过敏原测试在患有喘的成年人中使用不足.
- 测试与改善喘结果有关,并减少了测试后的恶化措施.
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