与乙性食道炎相关的急诊室访问的季节性模式:国家数据库分析
Chun-Wei Pan1, Alejandro Nieto Dominguez1, Daniel Guifarro1
1Department of Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USA.
The American journal of gastroenterology
|November 26, 2024
概括
在夏季,患有乙酸性食道炎 (EoE) 的成年人更经常前往急诊室. 这种与饮食和行为相关的季节性模式强调了需要主动管理的需要,特别是在高峰季节.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 性食道炎 (EoE) 是一种慢性免疫介导的食道疾病.
- 了解EoE恶化的季节性趋势可以为公共卫生战略提供信息.
- 紧急部门的访问为严重的EoE火焰提供了代理.
研究的目的:
- 为了调查成年人患有异性食道炎 (EoE) 的急诊室 (ED) 访问的季节性变化.
- 为了确定与EdE相关的ED访问的高峰季节.
- 为EoE提供有针对性的管理策略.
主要方法:
- 从2016年到2021年对国家紧急情况部门样本 (NEDS) 数据库的分析.
- 使用ICD-10代码识别成年EOE患者.
- 应用通用添加模型来评估ED访问中的季节性模式.
主要成果:
- 总共有18791次与EdE相关的ED访问被分析.
- 观察到EoE ED访问的季节性差异很大,夏季达到峰值,冬季达到最低点.
- 这种季节性模式在美国所有主要的地理区域都是一致的.
结论:
- 季节性饮食变化和社会行为可能是导致EoE恶化的因素.
- 医疗保健提供者应在高风险时期,特别是夏季,加强EoE管理策略.
- 在夏季和周末进行积极的患者教育和干预可能会减少ED访问.
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