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炎症性肠病的时间趋势:2010年至2020年的全国性研究
Silpa Choday1, Anne Jarvis1, Peter Kim1
1Department of Internal Medicine, Creighton University School of Health Science, Phoenix, AZ, USA.
炎症性肠病 (IBD) 的住院病例在2016年后减少,而营养不良则增加. 尽管营养不良率上升,但IBD患者的全家长营养 (TPN) 使用量有所下降,这表明十年来护理的重要转变.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 炎症性肠病 (IBD),包括克罗恩病 (CD) 和性结肠炎 (UC),存在重大管理挑战.
- 总的家长营养 (TPN) 对于营养不良的IBD患者来说是一个关键的干预措施,但其利用模式和结果需要持续检查.
- 了解IBD住院和TPN使用的全国趋势对于优化患者护理和资源配置至关重要.
研究的目的:
- 分析全国性炎症性肠病 (IBD) 住院病例的10年趋势以及父母全方位营养 (TPN) 的利用情况.
- 调查TPN利用,营养不良患病率和IBD患者住院结果之间的关联.
- 确定IBD的管理策略的转变,特别是关于营养支持的转变.
主要方法:
- 从2010年到2020年使用全国住院患者样本 (NIS) 数据库.
- 确定了IBD (CD和UC) 的住院病例,并分析了TPN利用的趋势.
- 检查的结果包括住院死亡率,住院时间,医院费用和营养不良患病率.
主要成果:
- IBD住院病例在2016年之前呈现上升趋势,随后出现统计学上显著的下降.
- 在CD和UC患者中,TPN利用率分别下降,从6.2%降至5.4%和5.3%降至3.1%.
- 营养不良的患病率在CD显著增加 (11.6%至16.6%),UC显著增加 (13.5%至17.3%),而营养不良患者的TPN使用显著下降.
结论:
- 在过去的十年里,克罗恩病和性结肠炎患者的TPN使用量有显著下降.
- 尽管TPN使用量有所下降,但IBD住院患者的营养不良率有所增加,这表明营养支持的潜在缺口.
- 医院费用和营养不良的趋势有所上升,而住院患者的死亡率,住院时间和TPN使用率有所下降,突出显示IBD管理的复杂性.
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