酒精相关肝炎患者使用紧急服务:对国家趋势的分析
Shreya Sengupta1, Akhil Anand2,3, Rocio Lopez4
1Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA.
Alcohol, clinical & experimental research
|January 9, 2024
概括
酒精相关性肝炎 (AH) 的急诊室 (ED) 访问正在增加,更多的患者住院治疗,年轻人被诊断患有AH的数量增加了. 这一趋势凸显了这种严重的肝病负担的日益增加.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 酒精相关性肝炎 (AH) 是一种严重的肝病,患者住院和死亡率不断增加.
- 大多数住院的AH患者都是通过急诊室 (ED) 接收的.
- 有限的数据存在于HE患者的ED利用模式.
研究的目的:
- 分析2016-2019年AH使用ED的时间趋势.
- 检查AH患者向ED提出的特征和结果.
- 确定ED中AH患者的人口和保险趋势.
主要方法:
- 全国紧急情况部门样本 (NEDS) 数据集 (2016-2019) 的分析.
- 使用后勤回归评估AH ED访问的时间趋势.
- 评估患者的人口统计,疾病严重程度和出院倾向.
主要成果:
- 在466,014,370次急救诊所中,AH占0.096%,其中85%需要住院治疗.
- 对于AH的ED访问率从每10万次访问中的85个增加到106.8个.
- 二次性AH率显著上升,年轻的成年人 (25-44岁) 显示ED访问的比例越来越高.
结论:
- 对于AH的ED使用量正在增加,住院比例也在增加.
- 观察到年轻患者呈现AH到ED的显着增加.
- 疾病的严重程度,包括炎和急性损伤,也在研究期间增加.
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