澳大利亚儿童中喘再入院的高负担:基于人口的队列研究
Md Mahbubur Rashid1, Nan Hu1, Jahidur Rahman Khan1
1School of Clinical Medicine, Faculty of Medicine, UNSW Sydney, Sydney, New South Wales, Australia.
概括
在儿童,特别是学龄前儿童中,喘再入院是很常见的,花费数百万美元. 改善放学后的护理对于减少这些再接收及其经济影响至关重要.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 喘住院 represent一个重要的全球健康负担,高达40%是重复入院.
- 了解儿科患者的喘再入院率对于资源配置和患者管理至关重要.
研究的目的:
- 估计澳大利亚新南威尔士州 (NSW) 2至17岁儿童喘再入院的发生率和经济负担.
- 确定与儿科喘再入院相关的高风险年龄组和社会经济因素.
主要方法:
- 一个回顾性,基于人口的队列研究,使用来自新南威尔士 (NSW) 的链接行政数据.
- 纳入标准:2-17岁的儿童,在2005年至2015年期间至少有一次喘住院治疗.
- 随访期:12个月 索引喘住院后,评估再入院率和直接医疗费用.
主要成果:
- 超过48,000例喘住院病例被记录;儿童住院病例指数为28,177例.
- 21.6%的儿童在12个月内经历了第一次喘复发.
- 2至4岁的年龄组占再接收人数的80%以上,其中很大一部分来自弱势地区.
- 在12个月内首次再入院的总直接医疗费用达到1560万澳元.
结论:
- 幼儿园 (2-4岁) 儿童的喘再入院率最高.
- 喘再接收给医疗保健系统带来了巨大的经济负担.
- 确定可修改的因素,特别是退院后的喘管理,对于减轻儿科喘再入院的情况至关重要.
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