在患有骨髓质疏松症的个体中,急性护理利用率的种族差异
Cynthia Qi1, Pushpa Narayanaswami2, Ashley E L Anderson3
1Argenx US Inc., Boston, MA, United States.
Frontiers in public health
|February 18, 2025
概括
种族和民族差异显著影响了诊断后肌痛性硬化症 (MG) 患者的急性护理使用. 非洲裔美国人和西班牙裔人遇到更高的急诊室访问和住院率,突出了关键的医疗保健准入问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床神经学 临床神经学
- 健康差异 在健康上的差异
背景情况:
- 关于影响健康的社会决定因素的证据有限,包括严重肌痛性肌痛症 (MG) 疾病负担和医疗保健资源利用率.
- 了解这些差异对于公平的患者护理和结果至关重要.
研究的目的:
- 调查种族/种族和急性护理利用在MG诊断后两年内之间的独立关联.
- 确定新诊断的MG患者在医疗保健资源利用中的潜在种族差异.
主要方法:
- 一项回顾性队列研究分析了2010-2019年美国患者的非识别数据.
- 多变量回归模型评估了急性护理使用与种族/种族之间的联系,对保险的控制,疾病恶化和其他因素.
主要成果:
- 与白人相比,非洲裔美国患者在诊断后的一年内,急诊诊所的几率比白人高37%.
- 西班牙裔患者在诊断后的第二年,住院的几率增加了70%.
- 医疗补助使用,最初的疾病恶化和门诊访问频率也与急性护理利用有关.
结论:
- 在MG诊断后的头两年中,在急性护理利用方面观察到显著的种族差异.
- 进一步的研究应探讨诸如医疗保健接入障碍,疾病严重程度和治疗控制等促成因素,以解决这些差异.
相关概念视频
Myasthenia Gravis: Overview and Treatment
1.1K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.1K
Myasthenia Gravis: Diagnostic Tests
601
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
601
Disorders of the Skeletal Muscle
857
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
857
Indirect-Acting Cholinergic Agonists: Pharmacological Actions
606
Indirect-acting cholinergic agonists, also known as anticholinesterases, exert their pharmacological effects by enhancing cholinergic transmission in various body parts, including the neuromuscular junction, autonomic cholinergic synapses, and the brain.
At the neuromuscular junction, these agents work by inhibiting the breakdown of acetylcholine, allowing it to remain bound to the receptor and bind to nearby receptors. This process leads to repetitive firing of the endplate, causing muscle...
At the neuromuscular junction, these agents work by inhibiting the breakdown of acetylcholine, allowing it to remain bound to the receptor and bind to nearby receptors. This process leads to repetitive firing of the endplate, causing muscle...
606
Direct-Acting Cholinergic Agonists: Therapeutic Uses
672
Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren...
672
Skeletal Muscle Relaxants: Adverse Effects
330
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
330


