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流行病期间的儿科慢性病 - - 一个单一中心的经验
Łukasz Biesiadecki1, Joanna Jacuńska1, Paulina Tomecka1
1Students' Scientific Association, Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.
Journal of clinical medicine
|March 17, 2025
概括
由于COVID-19大流行,儿科慢性病 (CKD) 诊断延迟,更多的儿童在晚期诊断. 减少获得医疗保健的机会可能导致了儿童慢性病诊断的延迟.
科学领域:
- 儿科脏病学 儿科脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 的患病率在全球范围内正在上升,包括儿童.
- 早期诊断儿科CKD至关重要,但具有挑战性.
- 外部因素,如COVID-19大流行,可能会破坏诊断途径.
研究的目的:
- 调查COVID-19大流行对儿科慢性病 (CKD) 诊断的影响.
- 为了比较大流行之前和期间/之后儿童的CKD诊断.
- 分析CKD阶段,潜在原因和诊断时的性别差异.
主要方法:
- 对154名儿科慢性病患者的回顾性分析.
- 流行病前 (2015-2019) 和流行病/流行病后 (2020-2024) 队列的比较.
- 评估估计的膜过率 (eGFR),CKD阶段,病因和性别.
主要成果:
- 在不同时期之间对儿科CKD诊断的可比数量.
- 在流行病/流行病后队列中,晚期CKD的比例更高.
- 在大流行期间增加了淋巴细胞病变,急性损伤和未知的CKD原因的发病率.
结论:
- 由于COVID-19的流行,儿童慢性病的诊断可能会延迟.
- 减少获得初级保健和中断检查可能是导致因素.
- 这突显了对儿科脏健康监测的潜在长期影响.
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