患者的不同表型和COVID-19住院后的医疗保健资源利用:一项观察性研究
Claire Marant Micallef1, Manon Belhassen2, Florence Ader3,4
1PELyon, Pharmacoépidémiologie Lyon, 210 Avenue Jean Jaurès, Lyon, 69007, France. claire.marant-micallef@pelyon.fr.
BMC health services research
|January 28, 2025
概括
后COVID-19住院患者显示8个不同的医疗保健资源使用配置文件. 这些患者集群有助于预测在2019年冠状病毒疾病恢复后的未来护理需求.
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:
- 对于2019年新冠肺炎 (COVID-19) 住院后的医疗保健资源使用 (HCU) 尚不清楚.
- 根据出院后的护理确定不同的患者资料对于有效的资源分配至关重要.
研究的目的:
- 根据COVID-19住院后出院后的医疗保健资源使用 (HCU) 来识别不同的患者个人资料.
- 了解从严重的COVID-19中康复的患者的各种医疗保健需求.
主要方法:
- 在法国,对68822名因COVID-19住院的患者进行了回顾性队列研究.
- 使用法国国家卫生系统索赔数据,分析医疗保健资源使用 (HCU) 在退院后的5个月内.
- 病房的上升层次集群 (AHC) 以基于HCU和临床特征来识别患者个人资料.
主要成果:
- 根据COVID-19后的HCU,确定了八个不同的患者群.
- 集群因年龄,并发症 (癌症,精神疾病,心脏/呼吸系统衰竭),肥胖和住院复杂度指数而有所不同.
- 最大的集群 (n=35,501) 是整个研究群体的代表.
结论:
- 上升的等级分类确定了8个临床相关的COVID-19住院后幸存的患者的个人资料.
- 这些概况强调了COVID-19对健康的多样化和长期影响.
- 确定的集群可以帮助预测COVID-19幸存者的未来医疗保健需求.
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