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2014-2020年IBD全国30天再录取趋势 - 我们的目标是改善吗?
Irēna Teterina1, Veronika Mirzajanova2, Viktorija Mokricka3
1Department of Pharmacology, Faculty of Pharmacy, Riga Stradiņš University, LV-1007 Riga, Latvia.
拉脱维亚的炎症性肠病 (IBD) 患者的30天再入院率整体上升,而性结肠炎显示出显著的上升趋势. 2020年COVID-19大流行中断了这一趋势,需要进一步研究.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 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:
- 在东欧,炎症性肠病 (IBD) 的患病率不断增加.
- 30天再入院率是关键的医疗保健质量指标,但在IBD中未得到充分分析.
- 关于拉脱维亚IBD再接收趋势的数据有限.
研究的目的:
- 调查拉脱维亚30天所有原因和疾病特定再入院的性结肠炎 (UC) 和克罗恩病 (CD) 患者的趋势.
- 分析IBD患者的住院趋势和住院时间.
- 探索COVID-19对再接收模式的潜在影响.
主要方法:
- 在拉脱维亚 (2014-2020年) 的IBD患者 (UC和CD) 的回顾性趋势分析.
- 利用国家卫生服务数据库,通过ICD-10代码 (K50.X,K51.X) 识别患者.
- 评估了所有原因和特定疾病的30天再入院率,住院趋势和平均逗留时间.
主要成果:
- 尽管2020年入院数量有所下降,但IBD总再入院人数增加;女性患者年龄较大.
- 对UC (p-trend=0.018) 观察到30天所有原因再入院的显著上升趋势,对CD特定再入院的显著趋势 (p<0.05).
- 越来越多的再接收趋势 (2014-2018) 在2020年被中断,可能是由于COVID-19胃肠病学资源的重新分配.
结论:
- 在拉脱维亚,UC和CD患者的30天再入院有显著的趋势,突出了改善护理连续性的需要.
- COVID-19 疫情似乎已经破坏了既定的再接收模式,因此需要对其长期影响进行进一步调查.
- 在研究期间,没有观察到平均住院费用的显著变化.
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