的令人不安的兴起:关于发病率,相关风险因素和临床表现的审查和全国分析
Kristen N Reikersdorfer1, Aaron Singh, Jason D Young
1From the Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA (Ms. Reikersdorfer, Dr. Young, Dr. Batty, Dr. Steele, Dr. Yuen, Dr. Liu, and Dr. Hogue) Department of Orthopaedics, UT Health San Antonio, San Antonio, TX (Mr. Singh, and Dr. Momtaz); and the Department of Pediatrics, Boston Children's Hospital, Boston, MA (Dr. Weissert).
儿童病发病率正在上升,大多数病例与自闭症谱系障碍和肥胖有关. 这种情况呈现出肌肉骨问题,并增加医疗保健成本.
科学领域:
- 整形医生 整形医生 整形医生
- 儿科 儿科 儿科
- 营养缺乏症 营养缺乏症
背景情况:
- 由于营养改善,在历史上被认为是罕见的,正在经历复苏.
- 单独的病例报告表明患病率正在上升,需要对其临床影响进行审查.
研究的目的:
- 分析儿科住院患者群体中病发病率的上升.
- 调查儿科病的骨科表现和相关诊断.
主要方法:
- 从国家住院患者样本 (2016-2020年) 中回顾分析了超过1900万名儿科患者的病历.
- 使用ICD-10代码识别病例.
- 收集和比较人口变量,并发诊断和肌肉骨报告.
主要成果:
- 在2016年至2020年期间,疹发病率从每10万儿童中的8.2增加到每10万儿童中的26.7.
- 患有病的患者更有可能是年轻人,男性,来自低收入四分之一,肥胖.
- 在病和自闭症谱系障碍 (64.2%) 之间发现了显著的关联;常见症状包括难以行走,膝盖疼痛和下肢形.
结论:
- 临床医生必须认识到小儿病患者中病的发病率越来越高.
- 在无法解释的肌肉骨症状的情况下,考虑皮病,特别是在患有自闭症谱系障碍或肥胖等危险因素的患者中.
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