喘住院和结果的季节性变化和社会差异
Mohammed Khalid1, Talal Almasri1, Spencer Goble1
1Department of Medicine, Hennepin Healthcare, Minneapolis, MN, USA.
概括
喘住院患者的数量在冬季达到峰值. 夏季入院和非白人种族与增加对呼吸系统支持的需求有关,突出显示了喘护理的季节性和种族差异.
科学领域:
- 肺部医学 肺部医学
- 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:
- 喘恶化可能受到季节性因素和社会经济地位的影响.
- 了解这些变异对于有效的公共卫生战略至关重要.
- 以前的研究表明,喘结果可能存在差异.
研究的目的:
- 调查喘住院病例的季节性变化.
- 根据种族和收入来检查不同的喘结果.
- 为了确定不同季节和不同人口群体喘入院的趋势.
主要方法:
- 从2016-2019年使用国家住院患者样本对成人喘住院病例的回顾性分析.
- 住院住院情况按季节 (冬季,春季,夏季,秋季) 分类.
- 多变量回归用于评估季节,种族,收入和临床结果之间的关联.
主要成果:
- 喘患者入院率在冬季最高,夏季最低.
- 夏季入院显示了输管和非侵入性正压通风 (NIPPV) 的增加率.
- 与白人患者相比,黑人患者的输管和NIPPV率更高;没有发现基于收入的差异.
结论:
- 喘病例呈现季节性模式,冬季出现高峰.
- 夏季入院和非白人种族与增加对呼吸系统支持 (NIPPV,输管) 的需求有关.
- 公共卫生干预措施应应对喘管理中的季节性变化和种族差异.
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