患有内动脉静脉形异常的儿科患者:急诊室呈现的趋势
Sima Vazquez1, Chandler Berke2, Victor M Lu2
1School of Medicine, New York Medical College, Valhalla, New York, USA.
World neurosurgery
|May 25, 2024
概括
儿童动脉静脉形形 (AVM) 患者被送往急诊室 (ER) 的病例正在增加,特别是那些内出血 (ICH) 患者. 这些ER入院与社会经济因素有关,并暗示了对护理的潜在障碍.
科学领域:
- 神经学 神经学
- 儿科神经外科 儿科神经外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿科内动脉静脉形 (AVM) 进入急诊室 (ER) 是常见的.
- 在这些患者中,ER使用量的增加与医疗保健差异和效率下降有关.
- 本研究评估了儿科AVM急诊室入院的趋势和相关因素.
研究的目的:
- 评估儿童内动脉静脉形 (AVM) 住院急诊室 (ER) 的最新趋势.
- 确定与医疗保健资源利用和这些患者的结果相关的因素.
- 了解通过急诊室入院的儿科AVM患者的社会经济状况和疾病严重程度.
主要方法:
- 利用2016-2019年国家住院患者样本用于儿科AVM入院.
- 通过急诊室 (ER) 接收的确诊患者.
- 使用比较和回归统计数据分析了人口,社会经济和严重性因素.
主要成果:
- 33.0%的儿科AVM患者通过急诊室入院.
- 紧急诊所的入院与收入较低,医疗补助保险和美国南部地区有关.
- 进入急诊室的患者的脑内出血 (ICH) 严重程度和发病率增加,随着时间的推移,其趋势越来越强.
结论:
- 儿童AVM患者的急诊室 (ER) 住院,特别是内出血 (ICH),正在增加.
- 这些入院与特定的社会经济因素相关,表明获得初级保健和先进诊断的潜在障碍.
- 解决这些障碍对于减少儿科AVM患者严重疾病呈现至关重要.
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