呼吸道疾病和慢性多病症之间的复杂相互关系:纵向网络分析以及对未来病毒性呼吸道流行病的准备工作的影响
Daniel E Zoughbie1,2, Kyongsik Yun3
1Institute of International Studies, University of California, Berkeley, Berkeley, CA, United States.
像喘和COPD这样的呼吸系统疾病与代谢,心血管和精神健康状况有关. 随着COVID-19大流行,慢性护理受到破坏,凸显了呼吸系统和全身疾病综合管理的必要性.
科学领域:
- 肺部和重症监护医学 肺部和重症监护医学
- 医疗保健服务研究 医疗服务研究
- 计算流行病学计算流行病学
背景情况:
- 呼吸系统疾病,包括喘和COPD,对全球健康负担作出了重大贡献,特别是当它们与慢性系统性疾病同时发生时.
- 了解这些相互关系对于开发有弹性的医疗保健系统至关重要,特别是在与流行病相关的压力期间.
研究的目的:
- 分析呼吸道疾病与其他慢性疾病同时发生的模式.
- 调查COVID-19大流行对慢性疾病管理服务的影响.
主要方法:
- 分析了超过8200万个未识别的医疗保健索赔 (2020-2024年).
- 使用ICD-10代码构建疾病共发生矩阵.
- 使用斯皮尔曼的等级顺序相关性和网络可视化对对联关系的量化.
主要成果:
- 喘和COPD是多病症网络中的中心节点,与代谢,心血管和精神健康障碍密切相关.
- 慢性疾病管理服务的显著减少发生在2022年,在COVID-19流行病峰值期间.
- 在2023年,慢性护理服务的部分反弹被观察到.
结论:
- 呼吸系统疾病在多病症中起着整合性的作用,需要跨学科的管理.
- 随着COVID-19的流行,慢性护理的系统性漏洞被暴露出来.
- 未来的准备需要综合的多病态框架和对呼吸道和全身疾病的持续护理.
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