儿童和青少年的脚问题:基于人口的队列研究
Emma Rezel-Potts1, Catherine Bowen2, Kate M Dunn3
1School of Life Course and Population Sciences, King's College London, Addison House, Guy's Campus, London, SE1 1UL, UK.
European journal of pediatrics
|May 9, 2024
概括
足问题在儿童和青少年 (CYP) 中很常见,特别是在10-14岁的男性中. 不明确诊断和重复诊断的高率凸显出需要更好的综合护理.
科学领域:
- 儿科整形外科 儿科整形外科
- 流行病学 流行病学
- 主要护理医学 医疗保健
背景情况:
- 脚问题显著影响儿童的生活质量.
- 关于这些问题的患病率和特征在儿科人口中存在的数据有限.
研究的目的:
- 描述英格兰各地儿童和青少年 (CYP) 足问题的流行病学,临床表现和初级保健利用情况.
- 识别与寻求医疗保健行为相关的因素,并重复咨询.
主要方法:
- 基于人口的队列研究,使用来自英国临床实践研究Datalink Aurum数据库的匿名电子健康记录.
- 对2015年1月至2021年12月期间出现足问题的0-18岁CYP数据的分析.
- 计算咨询率;用于分析社会人口统计因素和重复咨询的等级Poisson和后勤回归.
主要成果:
- 超过416,000个CYP经历了687,000+个脚和脚事件,主要是肌肉骨 (34%) 和未指定的疼痛 (21%).
- 咨询率在10-14岁的男性中达到顶峰 (601/10,000患者年).
- 一个平均的诊所每年约有132次咨询;像青少年关节炎这样的先前存在的疾病增加了重复访问的几率 (OR 1.73).
结论:
- 在CYP中,脚和脚的咨询经常发生,在10-14岁的男性中出现了显著的峰值.
- 不明确诊断和重复诊断的高率表明,需要改善初级保健和相关卫生专业人员之间的整合.
- 结果可以指导服务提供,以确保及时和适当的护理儿科脚病.
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