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多发性硬化症患者住院的原因
Danelvis Paredes1, Elijah Lackey1, Suma Shah1
1From the Department of Neurology, Duke University Hospital, Durham, NC.
International journal of MS care
|October 29, 2024
概括
尿路感染是多发性硬化症 (MS) 患者住院的主要原因. 在MS中解决膀功能障碍可能会减少住院和改善患者护理.
科学领域:
- 神经学 神经学
- 医疗保健管理的管理
背景情况:
- 与普通人群相比,患有多发性硬化症 (MS) 的人群使用医疗保健的比例更高.
- 关于MS患者住院治疗的具体原因的数据有限.
- 了解这些原因对于确定可预防的入院原因至关重要.
研究的目的:
- 分析被诊断患有多发性硬化症 (MS) 个体住院的主要原因.
- 识别可能可预防的导致MS患者入院的原因.
- 为减少MS患者住院治疗的策略提供信息.
主要方法:
- 已确认MS诊断的成年患者的回顾性分析.
- 招生标准:2018年1月至2020年1月,在杜克大学医院接受治疗的患者.
- 数据分析涉及210个人队列的描述性统计数据.
主要成果:
- 最常见的入院原因是尿路感染 (UTI),占病例的10.3%.
- 多发性硬化症患者的平均逗留时间为6.1天,与普通人群 (5.5天) 相比.
- 在MS患者 (14.9%) 和普通人群 (15.5%) 之间,30天再入院率相似.
- 住院的MS患者中很大一部分没有接受疾病修饰疗法 (DMT).
结论:
- 多发性硬化症患者的住院时间和再入院率与普通人群相比较.
- 尿路感染 (UTI) 是MS住院的最常见原因,与普遍的膀功能障碍有关.
- 在MS患者中针对性地管理膀功能障碍可以降低入院率.
- 许多高利用率的多发性硬化症患者没有使用DMT,这表明需要进一步研究减少可预防住院治疗的因素.
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