在患有喘的年轻人群中,初级保健的连续性和可避免的住院治疗:基于人口的队列研究
Iyn-Hyang Lee1,2, Sangwan Kim3,4, Eunjung Choo5
1College of Pharmacy, Yeungnam University, 280 Daehak-ro, Gyeongsan, Gyeongbuk, 38541, Republic of Korea. leeiynhyang@ynu.ac.kr.
Scientific reports
|November 17, 2024
概括
在小儿喘患者的初级诊所中,高连续性护理显著减少了住院治疗. 保持一致的护理对于更好的喘管理和减少儿童的急诊至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于持续护理 (COC) 对喘患者的影响的证据有限.
- 现有研究的质量往往低至中等,需要进行强有力的研究.
研究的目的:
- 调查初级环境中关联性护理连续性与儿童中喘相关住院病例之间的关联.
- 利用一个强大的方法来分析这个关系在一个大的儿科人口.
主要方法:
- 使用韩国国家索赔数据库进行基于人口的队列研究.
- 包括136,296名新诊断患有喘的儿童 (2015-2016).
- 将患者分为高,中,低连续性组,使用护理连续性指数 (COCI) 进行为期两年的随访.
主要成果:
- 10,922名患者 (8.01%) 在两年内住院治疗.
- 住院率为5.59% (高的COC),6.98% (中等的COC) 和8.48% (低的COC).
- 与高连续性组相比,低和中连续性组的住院风险调整比率显著更高 (aHR=1.30和aHR=1.14,分别).
结论:
- 增加初级保健的连续性与年轻喘患者的住院减少有关.
- 在敏感度和子组分析中,研究结果一致.
- 强调一致的初级保健关系对于有效管理儿科喘的重要性.
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