分析儿科的种族差异 无形性并发症 紧急诊所访问 使用电子健康记录
Esteban Correa-Agudelo1, Lili Ding2, Andrew F Beck3
1Division of Asthma Research, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
概括
种族差异存在于急诊室 (ED) 儿童形疾病的访问中. 与白人/欧洲裔美国儿童相比,黑人/非洲裔美国儿童的急救诊所访问频率更高,与亚托皮炎和喘等疾病的复发时间更短.
科学领域:
- 儿科过敏和免疫学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 亚托皮性疾病及其并发症在儿童中很常见.
- 对于这些情况的急诊室 (ED) 使用的种族差异知之甚少.
研究的目的:
- 调查患有过敏并发症的儿童在ED访问中的种族差异.
- 为了检查黑人/非洲裔美国人 (AA) 和白人/欧洲裔美国人 (EA) 儿童之间的ED无遭遇生存时间和复发时间的差异.
主要方法:
- 在2015-2019年期间,回顾性研究的患者 (<21岁) 访问了儿童ED的亚托皮性皮肤炎 (AD),食物过敏 (FA),喘,过敏性鼻炎 (AR) 和eosinophilic食道炎 (EoE).
- 对ED遭遇和复发时间 (TTR) 的危险比率 (HRs) 的分析.
- 评估过敏,人口,保险和基于地点的因素,包括与种族的相互作用.
主要成果:
- 30,894名患者占到了83,078次ED遭遇.
- 在AA和EA儿童的ED诊所中,喘和AR是最常见的并发症.
- 在最初的AD和喘访问后,AA儿童遇到的HR更高.
- 保险类型与种族相互作用,医疗补助保险的AA儿童显示较高的HR,EA儿童显示较低的HR,与商业保险同龄人相比.
- 过敏并发症增加了所有过敏疾病中ED遇到的HR.
- 在5年的随访中,AA儿童对AD,FA和喘的平均TTR较短.
结论:
- 确定了儿童亚托皮性疾病ED访问的显著种族差异.
- 这些发现凸显了有针对性的干预措施的必要性,以公平地减少紧急护理使用率.
- 了解这些差异对于设计有效的策略来改善对无形儿童的照顾至关重要.
关键词:
过敏性鼻炎是一种过敏性鼻炎.喘 喘 是一种亚托邦性皮肤炎 (Atopic Dermatitis) 是一种不良的疾病.伴随性疾病 伴随性疾病在EDEDEDEDEDEDEDEDEDEDED应急部门的紧急情况.埃索诺菲尔性食道炎是什么?食物过敏 食物过敏健康差异的差异在健康上时间到复发的时间更多相关视频
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