导航甲状腺危机:全国性的分析周末效应和死亡率趋势在myxedema昏迷 (2016-2020) 中
Mariam Hashmi1,2, Zubair H Bodla1,2, Fatima Niaz3,4
1University of Central Florida (UCF) College of Medicine, Graduate Medical Education, Orlando, FL, United States.
概括
结核性昏迷患者的周末住院患者的住院死亡率更高. 从2016年到2020年,总体上myxedema昏迷死亡率显著增加,需要进一步调查.
科学领域:
- 内分泌学 在内分泌学.
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肌性昏迷是甲状腺功能低下症的严重表现,具有显著的发病率和死亡率.
- 了解影响神经昏迷结果的因素,如入院时间,对于改善患者护理至关重要.
- 现有的文献缺乏对平日和周末入院影响以及最近死亡率趋势的全面分析.
研究的目的:
- 分析住院患者的死亡率和myxedema昏迷的二次结果,基于工作日和周末的入院.
- 调查2016年至2020年期间的疹性昏迷的五年死亡率趋势.
主要方法:
- 使用国家住院样本 (NIS) 数据库 (2016-2020) 的回顾性队列研究.
- 使用ICD-10-CM代码识别的患者为myxedema昏迷.
- 分析住院患者的死亡率,住院时间,住院费用和次要结果,比较工作日和周末的入院.
主要成果:
- 周末入院与更高的住院死亡率相关 (aOR:1.9,p=0.01).
- 总体而言,混性昏迷死亡率从2016年的6.8%显著增加到2020年的13.4% (p=0.01).
- 在工作日和周末入院之间没有观察到停留时间,成本或次要结果的显著差异.
结论:
- 住院时间可能会影响疹性昏迷的结果,周末死亡风险更高.
- 在五年的时间里,人们观察到一种令人担忧的趋势,即疹昏迷死亡率的增加.
- 需要进一步的研究来阐明导致周末死亡率差异和整体死亡率上升的因素.
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