儿科到成人护理转移期间的差距在状细胞疾病中加剧了急性资源利用
Kristen E Howell1,2, Mariam Kayle3, Matthew P Smeltzer4
1Department of Epidemiology and Biostatistics, Texas A&M University, College Station, TX.
Blood advances
|May 29, 2024
概括
对于状细胞病 (SCD) 患者,从儿科到成人护理的更长的转移间隔与更多的住院和急诊访问有关. 减少这些差距对于SCD的年轻人更好地利用医疗保健至关重要.
科学领域:
- 血液学 血液学 血液学
- 医疗保健服务研究 医疗服务研究
- 关怀的过渡 关怀的过渡
背景情况:
- 建议在6个月内将年轻人从儿科转向成人医疗保健.
- 这种过渡过程在状细胞病 (SCD) 中没有得到充分的研究.
- 更长时间的转移延迟可能会影响医疗保健资源利用率.
研究的目的:
- 调查转移差距的持续时间与SCD年轻成年人的医疗保健利用之间的关联.
- 为了确定更长的转移差距是否与增加的住院病人,急诊室 (ED) 和门诊诊所的访问相关.
主要方法:
- 在2012年至2018年期间,对183名患有SCD的年轻成年人进行了回顾性分析,这些人过渡到成人护理.
- 转移差距定义为最后一次儿科和第一次成人护理访问之间的时间.
- 负二项回归用于估计转移差距持续时间和8年内医疗保健利用率之间的关联,重点关注成人护理的前2年.
主要成果:
- 转移间隔≥6个月与住院率高出2.01倍,而转移间隔<2个月.
- 转移差距≥6个月的年轻人在成人护理的头2年中,ED遭遇的次数是ED遭遇的1.75倍.
- 差距≥2至<6个月与门诊诊次数比差距<2个月低0.71倍相关.
结论:
- 在患有SCD的年轻成年人中,较长的转移差距与住院和ED利用率的增加以及门诊访问的减少有关.
- 减少转移差距的策略是必要的,以优化对这一群体的医疗保健服务.
- 这项研究强调了在状细胞疾病管理中改善过渡协议的必要性.
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