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在 hymenoptera 毒液过敏管理中的健康差异
Allergy and asthma proceedings
|December 27, 2023
概括
非洲裔美国患有海门虫毒液过敏症 (HVA) 的患者接受了较少的上腺素自注射器处方. 成年患者也不太可能接受过敏学家推,尽管潜在的风险增加.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 海门虫毒液过敏症 (HVA) 影响高达3%的刺痛,每年导致大约40名美国人死亡.
- 立即获得上腺素和对毒素免疫疗法的过敏学家推对于HVA管理至关重要.
- 有限的数据存在于上腺素自注射器处方率,过敏学家推模式和HVA护理中的种族差异.
研究的目的:
- 为了调查白人和非洲裔美国人HVA患者之间的上腺素自注射器处方的种族差异.
- 为了比较成人和儿科HVA患者之间的上腺素自注射器处方和过敏学家推.
- 确定在HVA患者的过敏学家推和上腺素自注射器处方之间的关联.
主要方法:
- 从2019年1月1日到2021年12月31日,对HVA患者的回顾性描述性图表审查.
- 使用Epic Systems Slicer Dicer进行数据提取,以了解患者的人口统计,种族,上腺素自喷剂处方和过敏学家推.
- 统计分析以确定基于种族和年龄的处方和转诊率的显著差异.
主要成果:
- 白人患者 (27.4%) 比非裔美国患者 (15.6%) (p=0.018) 更有可能获得上腺素自注射器处方.
- 成年患者 (8.0%) 与儿科患者 (28.6%) 相比,不太可能获得过敏学家推 (p=0.004).
- 有过敏症推的患者 (78.1%) 比没有 (17.4%) (p<0.00001) 的患者更容易被处方上腺素自注射器.
结论:
- 总体而言,针对HVA的上腺素自注射器处方和过敏学家转诊率较低.
- 存在显著的种族差异,非洲裔美国患者接受的上腺素自注射器处方较少.
- 成年HVA患者可能面临更高风险,不太可能接受过敏学家的转诊,这表明需要改善护理协调.
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