美国住院成年人多发病率的变化
Christine Loyd1, Lauren Picken1, Richelle Sanders1
1Department of Clinical and Diagnostic Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Journal of multimorbidity and comorbidity
|September 6, 2024
概括
随着年龄的增长,并因美国住院患者的性别和种族而异. 老年人,黑人和美洲原住民患者面临更高的负担,突出了健康不平等. 这强调了有针对性的干预措施的必要性.
科学领域:
- 老年学是一门学科.
- 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:
- 伴随性疾病显著影响患者的治疗结果和医疗保健费用.
- 了解人口统计学中的并发症负担对于公平的医疗保健至关重要.
- 查尔森并发症指数 (CCI) 和埃利克沙瑟并发症指数 (ECI) 是疾病负担的关键指标.
研究的目的:
- 在美国住院患者中使用CCI和ECI检查并发症的负担.
- 分析伴随性疾病负担如何因年龄,性别和种族而异.
主要方法:
- 2012-2018年美国国家住院样本 (NIS) 数据的横截面分析.
- 包括55岁及以上的住院患者.
- 使用ICD-9/10代码进行CCI和ECI的计算,用于接受诊断.
主要成果:
- 平均CCI和ECI得分在不同年龄,性别和种族 (p<.001) 中显著增加.
- 年龄较大的年龄组表现出更高的并发症负担,在80-89岁的人群中出现了最大的增加.
- 与白人住院患者相比,黑人和美洲原住民住院患者的CCI得分较高.
结论:
- 成年住院患者之间存在着越来越多的多病症负担,跨越不同的人口统计.
- 健康不平等是显而易见的,老年人,黑人和美洲原住民患者经历了更高的并发症.
- 持续开发预防和减少多病症的计划是必不可少的,特别是在弱势群体.
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