美国成人喘患者的多药性治疗,2005-2020年
概括
大约三分之一的喘成年人使用多种药物 (多种药物),增加了喘发作和紧急诊所的风险. 需要针对脆弱人群提供有针对性的护理.
科学领域:
- 肺部医学 肺部医学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 喘是一种慢性呼吸道疾病,需要持续的药物管理.
- 多药性,即使用多种药物,是慢性疾病中药物坚持的一个重要问题.
- 有限的证据表明,多药在成人喘患者中的流行率和影响有限.
研究的目的:
- 为了确定多药在美国成年人中患喘的患病率.
- 在这个人口群体中确定与多药学相关的因素.
- 检查多药和喘控制之间的关系,特别是喘发作和急诊室访问.
主要方法:
- 利用了来自国家健康和营养检查调查 (2005-2020) 的数据.
- 多药物的估计加权流行率.
- 采用多变量逻辑回归来确定多药性的决定因素及其与喘相关不良事件的关联.
主要成果:
- 在患有喘的成年人中,多药性患病率为34.3%,而未患喘的成年人为14.1%.
- 年龄较大,非西班牙裔黑人族裔,保险,医疗保健访问和并发症与多药学有关.
- 多种药物增加了喘发作 (OR 1.38) 和急诊室访问 (OR 1.46) 的风险.
结论:
- 大约三分之一的美国成年人患有喘经历过多药性治疗.
- 多药房的差异凸显了针对弱势群体量身定制的护理和政策的需要.
- 需要进一步的研究来验证多药对整体喘控制的影响.
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