在患有慢性咳的成年人中流行病学和医疗保健服务利用率
Gabriel Chodick1,2, Yael Barer1, Tal Blay Hagai3
1Maccabitech, Maccabi Institute for Research and Innovation, Maccabi Healthcare Services, Ha'Mered St. 27, Tel Aviv 6812509, Israel.
Journal of clinical medicine
|June 19, 2024
概括
慢性咳 (CC) 影响5.5%的成年人,并导致大量的医疗保健费用. 这项研究强调需要更好地认识和管理这种普遍的疾病.
科学领域:
- 肺部病理学 肺部病理学
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 慢性咳 (CC) 很常见,但研究不足,对其医疗负担的现实数据有限.
- 了解CC的流行病学和经济影响对于有效的患者管理至关重要.
研究的目的:
- 研究慢性咳 (CC) 患者的流行病学,并发病症和医疗保健服务利用情况.
- 在现实环境中确定与CC相关的经济负担.
主要方法:
- 在2009年至2018年期间,对患有CC的成年患者进行了回顾性队列研究 (咳持续时间≥8周).
- 匹配的成年人没有咳的参考组 (年龄,性别,居住地:1:1的比例).
- 对并发症,医疗保健利用率和相关成本的分析.
主要成果:
- 肺结核的发病率为5.5% (95,177名患者);10年发病率为3.26%.
- 相关疾病包括肺癌 (OR 3.32),百日咳 (OR 3.04) 和呼吸道感染 (OR 2.81).
- 患有CC的患者每年医疗费用较高 (4038美元对1833美元).
结论:
- 慢性咳是初级保健中普遍存在的疾病,具有重大经济影响.
- 需要提高CC的意识,全面管理和资源分配.
- 对治疗慢性咳的有效策略进行进一步研究是有必要的.
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