目前患有喘的成年人中的喘控制和相关风险因素:2019年行为风险因素监测系统喘回调调查的结果
Lauren Freels1, Abigail Herman1, Stephanie Lukas1
1Department of Pharmaceutical and Administrative Sciences, University of Health Sciences and Pharmacy in St. Louis, St. Louis, MO, USA.
Respiratory medicine
|November 28, 2023
概括
失控的喘影响了62%的美国成年人,与成本障碍,吸烟和肥胖等因素有关. 改善喘管理对于减少医疗保健使用至关重要.
科学领域:
- 肺部医学 肺部医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 喘仍然是一个重要的公共卫生问题,许多成年人经历不受控制的症状,尽管有治疗方法.
- 失控的喘增加了严重恶化的风险和医疗保健利用率.
研究的目的:
- 为了确定美国成年人中失控喘的患病率.
- 在这个人群中确定与不受控制的喘相关的预测因素.
主要方法:
- 对2019年行为风险因素监测系统喘回调调查数据的分析.来自27个州的数据.
- 根据国家喘教育和预防指南对喘控制的分类.
- 多变量逻辑回归用于识别7937名成年人中失控喘的预测因素 (加权n=13,793,220).
主要成果:
- 62%的患有喘的成年人报告了无法控制的症状;26%的人经历了紧急或紧急护理访问/住院治疗.
- 可修改的预测因素包括成本障碍,替代医学使用,吸烟,肥胖,COPD,抑郁症,一般健康状况不佳,低收入和较低的教育水平.
- 西班牙裔种族被确定为一个不可修改的预测因素.
结论:
- 失控喘在美国成年人中非常普遍,受到许多可修改和不可修改因素的影响.
- 有针对性的喘控制计划对于改善患者管理和降低医疗负担至关重要.
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