2019年EULAR/ACR对SLE评分的分类标准预测了未来狼入院和成本
Saurav Suman1, Hammad Ali2, Connor R Buechler3
1Division of Rheumatology, Penn State University, Hershey, PA, USA.
Lupus
|December 19, 2024
概括
2019年欧洲风湿病学协会联盟/美国风湿病学学院 (EULAR/ACR) 系统性红斑狼 (SLE) 评分预测了与狼相关的住院和成本. 19分或更高的分数表明风险增加和住院费用增加.
科学领域:
- 类风湿病学 类风湿病学
- 临床免疫学临床免疫学
背景情况:
- 系统性红斑狼 (SLE) 是一种慢性自身免疫性疾病,具有重要的医疗利用率.
- 准确评估SLE疾病严重程度对于患者管理和资源分配至关重要.
研究的目的:
- 评估2019年EULAR/ACR SLE分类标准对狼相关住院治疗的预测能力.
- 评估2019年EULAR/ACR SLE得分与住院总体成本之间的相关性.
主要方法:
- 在肯塔基大学,对44名符合初步入选标准的患者进行了回顾性图表审查.
- 为每个患者计算2019年EULAR/ACR SLE分数.
- 使用医院调整的每住院患者日费用来确定住院总费用.
主要成果:
- 2019年EULAR/ACR SLE得分为19或以上的患者在访问后六个月内表现出住院的风险增加 (p=0.069).
- 与狼相关的住院治疗的几率是5.71倍,对于初始得分≥19的患者,与得分<19.1的患者相比.
- 平均住院费用在得分>19 (28,725美元) 的患者显著高于得分≤19 (14,499美元) 的患者.
结论:
- 2019年EULAR/ACR SLE评分作为评估SLE疾病严重程度的有价值的替代标记.
- 这种评分系统表明,除了病例识别之外,它还具有潜在的实用性,有助于研究和临床试验分层.
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