慢性呼吸道疾病患者的肺部康复利用:2014-2019年
A Matta1, E Polychronopoulou2, Y-F Kuo2
1Division of Pulmonary, Critical Care and Sleep Medicine, USA.
Respiratory medicine
|April 24, 2025
概括
肺部康复 (PR) 在慢性呼吸道疾病中未得到充分利用. 与COPD等其他疾病相比,患有异常性肺纤维化 (IPF) 患者的PR启动和完成率更高.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性呼吸道疾病导致严重的残疾和死亡率.
- 肺部康复 (PR) 是一个推的管理策略.
- 关于PR使用和完成的人口水平数据有限.
研究的目的:
- 为了比较PR利用率和完成率在美国的各种慢性呼吸道疾病的成年患者中.
- 根据特定的疾病状态确定PR启动和坚持的差异.
主要方法:
- 对MerativeTM MarketScan®研究数据库 (2014-2019) 的回顾性分析.
- 包括患有COPD,ILD,IPF,肺高血压和支气管切除症的成年人.
- 通过CPT/HCPCS代码识别了PR使用情况;收集了人口统计数据,并发病症和PR参与数据.
主要成果:
- 分析了892,741名患有慢性呼吸道疾病的成年人;COPD是最常见的.
- 公关启动率很低 (2.3%),年参与率在1.5%-1.7%之间.
- 与COPD (53.9%) 相比,异形性肺纤维化 (IPF) 组的PR启动和完成率最高 (≥8次,60.8%).
结论:
- 肺部康复在慢性呼吸道疾病中未得到充分利用.
- 与其他慢性呼吸道疾病组相比,IPF患者的PR启动和完成率高于其他慢性呼吸道疾病组.
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