在私人保险的南非人中,有系统性红斑狼的并发病
Mbombo Henriette Ngandu Ntumba1, Kavita Makan2, Eustasius Musenge3
1Department of Internal Medicine, School of Clinical Medicine, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, Johannesburg, ZAF.
Cureus
|April 4, 2024
概括
伴随性疾病在南非系统性红斑狼 (SLE) 患者中很普遍,所有人至少有一种疾病. 关键问题包括高血压,感染和精神健康障碍,突出了对综合护理的需求.
科学领域:
- 风湿病学和免疫学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 伴随性疾病显著影响系统性红斑狼 (SLE) 患者的与健康相关的生活质量和预期寿命.
- 了解特定人群 (如私人保险的南非人患有SLE) 的并发症的范围,对于有针对性的管理至关重要.
- 以前的研究表明,并发症对SLE患者的治疗结果有负面影响.
研究的目的:
- 确定私人保险的南非患者中诊断出SLE的并发病的频率和类型.
- 为了在这个群体中识别常见的并发病,并发性疾病及其相关的风险因素.
- 调查特定并发症的预测因素,如充血性心力衰竭,高血压和情绪/焦虑障碍.
主要方法:
- 对南非发现健康医疗计划 (DHMS) 保险的SLE患者的医疗数据的回顾性审查.
- 纳入标准:诊断时年龄≥16岁,随访时间≥6个月,SLE诊断通过ICD-10代码得到证实.
- 收集的数据包括人口统计,查尔森并发症指数 (CCI) 条件,其他常见的并发症,并发性疾病和药物治疗.
主要成果:
- 在207名符合条件的SLE患者中 (90.8%为女性,中位数年龄为39岁),所有患者至少有一种并发症.
- 最常见的CCI并发症:肺部疾病 (30.9%). 其他常见疾病:高血压 (53.1%) 和情绪/焦虑障碍 (46.9%).
- 经常出现的间歇性疾病包括尿路感染 (37.7%) 和肺炎 (33.8%). 病,脂质障碍和男性性别预测了充血性心力衰竭.
结论:
- 在这个私人保险的南非SLE患者群体中,并发症是普遍存在的.
- 高血压,感染和情绪/焦虑障碍是主要的共同疾病,而肺部疾病是最常见的CCI共同疾病.
- 显然需要进一步研究南非SLE患者心理健康障碍的负担.
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