患有牛皮关节炎住院后的三十天再入院
Fidelis Uwumiro1, Solomon O Anighoro2, Adetayo Ajiboye3
1Internal Medicine, Our Lady of Apostles Hospital, Akwanga, NGA.
Cureus
|June 17, 2024
概括
近三分之一的牛皮关节炎住院患者在30天内重新入院. 年龄较小,家庭医疗保健退院以及炎症性肠道疾病等特定的并发症增加了牛皮关节炎患者的再入院风险.
科学领域:
- 类风湿病学 类风湿病学
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牛皮关节炎 (PsA) 与主要不良心血管事件和自身免疫性疾病的风险增加有关.
- 患有PsA的住院病例很常见,因此需要了解再入院模式.
研究的目的:
- 评估美国PSA住院患者的指数和30天再入院率和特征.
- 为了确定与PSA住院后30天再入院相关的主要症状和预测因素.
主要方法:
- 对2020年全国再接收数据库对成人PsA住院病例的分析.
- 使用国际疾病分类,第十次修订,临床修改代码来识别患者.
- 用于基线特征比较的千平方测试和用于预测因子识别的多变量考克斯回归.
主要成果:
- 29%的PsA指数住院导致30天的再入院.
- 主要的再入院原因包括急性功能衰竭,严重抑郁和心力衰竭.
- 预测再入院的因素包括年龄较小 (<40岁),出院到家庭医疗保健,以及炎症性肠道疾病或深静脉血栓形成的二次诊断.
结论:
- 在PsA住院患者中,很大一部分患者在30天后再次入院.
- 年轻的患者,从家庭医疗机构出院的患者和患有特定并发症的人面临更高的再入院风险.
- 这些发现突出了干预措施的关键领域,以减少PsA患者的再入院率.
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