慢性鼻炎和成年囊性纤维化患者的住院鼻手术的国家趋势
Roy W Qu1, Nihal Punjabi1,2, Wilson P Lao1
1Department of Otolaryngology-Head and Neck Surgery Loma Linda University Medical Center Loma Linda California USA.
OTO open
|February 21, 2025
概括
慢性鼻炎 (CRS) 在囊性纤维化 (CF) 患者中增加,但住院内镜外科手术 (ESS) 的发生率显著下降. CRS和ESS都预测了更长的住院时间,受患者和医院因素的影响.
科学领域:
- 肺部病理学 肺部病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 囊性纤维化 (CF) 治疗的最新进展需要评估它们对伴随性疾病的影响.
- 慢性鼻炎 (CRS) 是CF患者常见的疾病,影响生活质量和医疗保健利用.
研究的目的:
- 分析儿童和成年CF患者中CRS流行率和内镜鼻手术 (ESS) 率的时间趋势.
- 在CF患者中确定与ESS和延长停留时间 (LOS) 相关的因素.
主要方法:
- 利用国家住院患者样本 (2004-2019) 来分析超过32万名儿科和成人CF患者的数据.
- 评估并发性CRS,住院患者ESS率和扩展的LOS (≥75百分位数).
- 进行多变量分析以确定ESS和扩展LOS的预测因子,考虑患者和医院的特点.
主要成果:
- 在儿科 (14.1%至21.1%) 和成人 (16.5%至40.9%) CF患者中,CRS患病率增加.
- 在儿童 (25.3%至3.4%) 和成人 (12.3%至3.6%) 患有CRS的CF患者中,住院ESS率从2004年至2019年显著下降.
- 在2015-2019年期间,CRS和ESS是延长LOS (≥75百分位数) 的独立预测因素.
结论:
- 尽管CF中CRS患病率不断上升,但住院患者的ESS利用率下降.
- 患者人口统计学和医院因素影响ESS率,并与延长的LOS有关.
- CRS和ESS是CF患者长时间住院的重要原因.
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