风湿性关节炎患者可避免的住院情况:一项基于人口的研究,使用行政数据
Dani G Contreras1,2, Claire E H Barber1,2, J Antonio Aviña-Zubieta2
1University of Calgary, Calgary, Alberta, Canada.
Arthritis care & research
|April 3, 2025
概括
患有类风湿性关节炎 (RA) 的人面临着更高的可避免住院的风险. 提高门诊护理的准入和质量可以帮助预防这些入院,并减少医疗保健系统的压力.
科学领域:
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,影响关节和潜在的其他器官.
- 有效的RA管理旨在减少疾病活动,防止长期并发症,包括住院治疗.
研究的目的:
- 估计和比较风湿性关节炎 (RA) 患者与普通人群中可避免住院的发病率.
- 在RA患者中确定与可避免住院相关的风险因素.
主要方法:
- 一项队列研究使用验证的诊断代码 (ICD-9-CM,ICD-10-CA) 从2002年至2023年确定了RA病例.
- 门诊护理敏感条件 (ACSCs) 的住院住院情况是使用从2007年到2023年的诊断代码来确定的.
- 使用发病率比率 (IRR) 和Cox比例危险模型来分析住院的风险和预测因素.
主要成果:
- 与对照组 (n=190,304) 相比,RA患者 (n=83,811) 患心力衰竭和肺水的住院风险高出1.12倍.
- 在RA患者中ACSC住院的关键预测因素包括晚年,长期使用葡萄糖皮质激素和并发性疾病,特别是ACSC (HR 10.1).
结论:
- 患有RA的个体在诊断后三到五年内呈现出潜在可避免住院的高风险.
- 改善门诊护理的获取和质量,包括初级和专科服务,对于防止不必要的住院治疗和减轻急性护理系统负担至关重要.
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