初级保健中的症状诊断:一个观察性队列研究
Mika T Lehto1,2, Timo Kauppila3,2, Hannu Kautiainen3,4
1Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland mika.lehto@helsinki.fi.
症状诊断,通常在明确诊断不清楚时使用,占芬兰所有初级保健记录的13.5%. 这些诊断显示了男性和女性之间患病率的显著差异.
科学领域:
- 初级医疗保健研究 研究初级医疗保健研究
- 医学诊断 医学诊断 医学诊断
- 公共卫生 公共卫生
背景情况:
- 对于初级医疗保健患者来说,确定的诊断并不总是可能的.
- 在这种情况下,经常使用症状诊断.
研究的目的:
- 确定初级保健中症状诊断的比例.
- 为了确定最常见的症状诊断.
- 根据年龄和性别分析这些诊断的分布.
主要方法:
- 一项基于登记的研究是使用芬兰Vantaa的电子健康记录进行的.
- 用国际疾病分类 (ICD-10) 进行了诊断分类.
- 数据涵盖2016年1月1日至2018年12月31日的时间,分析了所有记录的诊断 (n=503,001).
主要成果:
- 症状诊断 (R码) 占所有记录诊断的13.5% (n=67,905).
- 最常见的症状是消化/腹部 (3.7%),循环/呼吸 (3.5%),一般 (3.0%) 和皮肤/皮下组织 (2.0%).
- 症状诊断在女性 (14.1%) 比男性 (12.4%) 更常见,具体模式因症状类别和性别而异.
结论:
- 大约八分之一的全科医生预约涉及症状诊断.
- 在症状诊断的患病率上观察到基于性别的显著差异.
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