喘儿童缺席的危险因素:系统性审查和元分析
Marie Hauerslev1, Kareen Alon1, Nicklas Brustad2
1Department of Pediatric and Adolescent Medicine, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
The journal of allergy and clinical immunology. In practice
|September 7, 2024
概括
跳过患有喘的儿童的门诊访问会增加急性事件. 缺席的关键风险因素包括青春期,非白人种族和较低的疾病严重程度,突出了针对性干预的需要.
科学领域:
- 儿科肺病学 儿科肺病学
- 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:
- 儿童喘门诊诊所的缺席与更糟糕的健康结果和更高的成本有关.
- 现有的研究表明风险因素,但需要进行全面的综合分析.
研究的目的:
- 系统地审查和对喘儿童缺席的风险因素进行元分析.
- 为了确定缺席是否与急性喘事件的风险增加有关.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在多个数据库 (PubMed,Embase等) 进行了搜索. 使用关键词:喘,孩子,没有出席.
- 包括17项研究 (27,023名儿童);对11项研究 (25,948名儿童) 的元分析.
主要成果:
- 青少年状态 (OR 1.26),非白人种族 (OR 1.51) 和较低的疾病严重程度 (OR 1.41) 是不出席的重要风险因素.
- 对于保险,阿托皮,性别或农村居住没有发现任何显著的关联.
- 缺席与急性喘事件增加相关 (OR 1.11).
结论:
- 确定了儿童喘患者缺席的关键风险因素.
- 这些发现可以为减少缺席和减轻相关急性喘风险的策略提供信息.
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