2018-2019年与2009-2010年相比,急诊室访问特征和人类免疫缺陷病毒患者资源利用的差异,与2009-2010年相比
Khairul A Siddiqi1, Asma Alzahrani2, Bankole A Olatosi2
1Elson S. Floyd College of Medicine, Washington State University, 412 E Spokane Falls Blvd, HERB 440, Spokane, WA, 99202, USA. k.siddiqi@wsu.edu.
BMC emergency medicine
|July 2, 2025
概括
美国艾滋病毒感染的老年人 (PLWH) 的急诊室访问量越来越多,其敏度和资源需求更高. 医疗保健设施需要加强培训和支持,以满足这个日益增长的人口.
科学领域:
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
背景情况:
- 艾滋病毒感染者的预期寿命延长 (PWH) 会导致与年龄相关的健康问题增加.
- 这种人口变化给美国的紧急医疗服务带来了独特的挑战.
研究的目的:
- 分析美国急诊室PWH患者特征和资源利用趋势.
- 了解从2009-2010年到2018-2019年期间在PWH中ED访问的变化.
主要方法:
- 使用了重复的横截面,调查加权,描述性分析.
- 检查了国家医院门诊医疗调查 (NHAMCS) 的ED访问级数据.
主要成果:
- 在老年PWH (55+),男性,西班牙裔,医疗保险接受者和南方居民中观察到ED访问的增加.
- 高敏度护理,高血压症状,成像 (CT扫描) 和用于PWH ED访问的药物使用的显著增加.
结论:
- 紧急服务部门需要在艾滋病毒和老年护理方面进行专业培训.
- 额外的临床人员和支持服务对于管理老龄化PWH日益增长的需求至关重要.
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