住院趋势和医疗保健资源利用对于功能性便秘的儿科患者便的影响
Diem Le1, Hafiza Durrani1, Jasmine Khatana1
1Department of Pediatrics, MetroHealth Medical Center, Cleveland, OH 44109, USA.
Journal of clinical medicine
|January 25, 2025
概括
从2011年到2019年,因便损伤而住院的儿童病例几乎翻了一番,增加了医疗保健成本. 早期门诊管理对于减少这些住院治疗至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 便阻塞是一种常见的儿科疾病,需要住院治疗.
- 了解住院趋势和资源利用对于有效管理至关重要.
研究的目的:
- 分析儿科便冲击住院治疗的临床特征.
- 检查儿科便损伤住院的趋势和相关的医疗保健资源利用情况.
- 确定影响需要积极减轻影响程序的因素.
主要方法:
- 从2011年至2019年使用的医疗保健成本和利用项目 (HCUP) 数据库 (NIS,KID).
- 包括小儿病患者 (0-18岁) 作为初级或二级诊断的便损伤.
- 分析了并发病,住院时间,医院费用和影响程序.
主要成果:
- 分析了23570例儿科便损伤病例 (0.18%的儿科病例).
- 住院率几乎翻了一番 (0.15%至0.29%),费用每年增加5.9% (经通货膨胀调整).
- 较大的孩子更有可能需要积极的破坏;女性,西班牙裔种族和肥胖症的相关性较小.
结论:
- 儿科便损伤住院病例显著增加,使医疗保健资源负担较大.
- 积极的门诊管理和密切的随访对于尽量减少住院治疗至关重要.
- 对预防策略和资源配置进行进一步研究是有必要的.
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