在中转移到成年人护理:全国性基于人口的注册研究
Rianne J M Goselink1,2,3, Hampus Hörling2,3, Anna Eklund1,2
1Department. of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Neurology. Clinical practice
|June 30, 2025
概括
青少年患有 (YPE) 转移到成人护理中显示出严重的护理差距,急诊次数增加和随访减少. 社会经济因素加剧了这些患者的结果.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 青春期是患者 (YPE) 的关键时期,原因是从儿科到成人医疗的过渡.
- 对于YPE的这种护理转型对医疗和社会经济影响的数据有限.
- 了解结果和风险因素对于改善护理连续性至关重要.
研究的目的:
- 评估过渡到成人护理后YPE的医疗和社会经济结果.
- 在此过渡期间识别与糟糕结果相关的风险因素.
主要方法:
- 在瑞典进行了一项以人口为基础的回顾性随访研究.
- 涵盖2013-2021年的数据是从五个国家登记处提取的,这些登记处记录了18岁的患者.
- 分析了2491名患有的青少年队列.
主要成果:
- 观察到一个护理差距,22%的YPE缺乏过渡后计划的专家随访.
- 18岁以后,相关的紧急护理访问从3%增加到7%.
- 糟糕的结果,包括跟踪和急症护理访问的损失,与较低的收入,外国背景和地理区域相关.
结论:
- 对于过渡到成人服务的青少年来说,症护理存在一个显著的差距,其特点是急诊护理增加和计划后续治疗减少.
- 较低的社会经济地位,外国背景和地理偏远与较差的治疗结果有关.
- 解决社会经济和地理差异的干预措施对于优化YPE过渡结果至关重要.
相关概念视频
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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
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01:13Seizures: Classification
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Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
609