长期COVID诊断之前和之后的医疗保健利用模式:一个病例控制研究
Rick DeVoss1, Elizabeth J Carlton2, Sarah E Jolley3
1Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA. rick.devoss@cuanschutz.edu.
BMC public health
|February 10, 2025
概括
长期COVID患者转移到诊断后增加的门诊护理,减少急性访问. 这表明改善管理,并强调长期COVID对医疗保健系统的重大负担.
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:
- 由于数据限制和诊断不确定性,长期COVID文档存在挑战.
- 需要人口层面的数据来了解长期COVID的医疗保健利用情况.
- 缺乏对长期COVID患者特征和临时医疗保健模式的清晰度.
研究的目的:
- 为了检查长期COVID患者的特征.
- 分析长期COVID诊断前后的医疗保健利用模式.
- 为了比较长期COVID患者与匹配的对照.
主要方法:
- 使用科罗拉多州所有付款人索赔数据库进行了回顾性,纵向的病例对照研究.
- 包括2021年10月至2022年8月期间被诊断为长期COVID (ICD-10 U09.9) 的18岁以上的个人.
- 根据人口统计和入学期对长期COVID病例与对照进行1:2匹配,诊断前/后跟踪1年.
主要成果:
- 确定了12698名长期COVID患者 (流行率为674/100,000) 与持续招生.
- 预诊断:17%的住院,40%的急救访问.
- 诊断后:急性护理减少 (-6.1%住院, -7.7%急救访问),但门诊访问增加 (+3.6%办公室, +4.7%专家) 和新药 (+5.2).
结论:
- 长期COVID诊断与从急性到门诊医疗保健利用的转变有关.
- 这一变化表明了诊断后改善患者管理的潜力.
- 医疗保健的高利用率强调了需要了解长期COVID对卫生系统的影响.
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