在"我们所有人"研究计划中,成年人中多重慢性疾病的流行:探索性分析分析
Xintong Li1, Caitlin Dreisbach1,2, Carolina M Gustafson3
1Goergen Institute for Data Science and Artificial Intelligence, University of Rochester, Rochester, NY, 14627, United States.
JMIR formative research
|May 12, 2025
概括
多重慢性疾病 (MCC) 影响76%的成年人,随着年龄的增长而增加. 组合从年轻人的心理健康转移到老年人的身体和心脏代谢状况,突出了公共卫生挑战.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 多重慢性疾病 (MCC) 对医疗保健系统和个人生活质量构成越来越大的挑战.
- 了解MCC在成年期的患病率对于管理慢性疾病负担和改善健康结果至关重要.
研究的目的:
- 估计我们所有人 (AoU) 研究计划的成年参与者中MCC的患病率和常见组合.
- 分析不同年龄段的MCC患病率和组合的变化.
主要方法:
- 对AoU研究计划中242,828名成年参与者的电子健康记录 (EHR) 数据的探索性分析.
- 在AoU研究人员工作台中使用Python进行数据分析,包括病情频率和按年龄组的流行率的描述统计数据.
- 使用ICD-10代码和确定的年龄类别来定义慢性疾病,从早期成年 (18-39岁) 到晚年 (75-89岁).
主要成果:
- 大约76%的参与者患有MCC,超过40%的人患有六种或更多的疾病.
- 随着年龄的增长,MCC的患病率随着年龄的增长而增加,从成年早期的33.78%增加到晚年老年人中的68.04%.
- 根据年龄出现了明显的MCC组合:18-39岁的人的心理健康状况,40-64岁的人的身体状况 (纤维肌痛,关节炎) 和老年人的高脂血症/高血压.
结论:
- 在AoU参与者中观察到显著的MCC流行率和条件组合的与年龄相关的变化.
- 这些发现强调了一个重大的公共卫生问题,需要量身定制的干预措施和人口健康战略.
- 护理模式必须适应,以应对整个生命周期中不断变化的MCC负担,从青少年的心理健康重点到晚年身体和心脏代谢状况.
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