与登革热相关的诊断延迟的发生率,持续时间和危险因素:基于人口的研究
Aaron C Miller1, Alan T Arakkal2, Joseph E Cavanaugh2
1Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.
The American journal of tropical medicine and hygiene
|July 17, 2025
概括
在旅行者中诊断登革热是具有挑战性的,因为症状重叠. 这项研究发现,近四分之一的登革热患者错过了诊断机会,延迟了治疗.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 登革热是国际旅行者发烧性疾病的重要原因.
- 登革热的症状模仿其他感染,往往会推迟及时诊断.
- 及时诊断对于有效的患者管理和预防严重后果至关重要.
研究的目的:
- 分析美国登革热病例的诊断延迟和错失机会.
- 确定导致患者登革热诊断延迟的因素.
- 估计错过诊断机会的频率和持续时间.
主要方法:
- 使用Merative MarketScan研究数据库 (2001-2021) 进行的回顾性队列研究.
- 确定了5992例登革热病例,比较了诊断前症状呈现频率.
- 使用引导分析来估计诊断延迟的持续时间和风险因素.
主要成果:
- 超过一半 (51.6%) 的登革热患者在诊断前进行了具有特征性症状的检查.
- 估计有22.8%的患者至少错过了一次诊断机会.
- 平均诊断延迟为4.02天;延迟在周末和抗生素/阿片类药物处方中更为常见.
结论:
- 登革热的诊断延迟是常见的,有很大的潜力错过机会.
- 周末访问和某些处方可能会增加被延迟登革热诊断的风险.
- 进一步的研究应该集中在改善诊断及时性和识别风险人群.
相关概念视频
01:08Prevalence and Incidence
825
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
825
01:26Principles of Disease Surveillance
183
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
183