美国重症监护室住院患者与药物相关诊断的地理差异
Kelsey Hills-Dunlap1, Max McGrath2, Ryan Peterson2
1Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
在美国,因使用物质而入住重症监护室 (ICU) 的地理位置存在差异. 了解酒精,阿片类药物和兴奋剂使用的区域差异对于有针对性的公共卫生干预至关重要.
科学领域:
- 危急护理医学
- 公共卫生
- 医疗服务研究
背景情况:
- 毒品使用对美国的发病率,死亡率和医疗费用有很大影响.
- 药物使用和住院情况的地理差异已知,但与药物相关的ICU入院情况尚未得到充分研究.
- 对于资源分配和干预来说,了解药物使用重症监护的空间差异至关重要.
研究的目的:
- 为了比较美国地理区域内涉及物质使用的ICU入院病例的发生率.
- 研究城市和农村ICU之间与物质相关的ICU入院的差异.
- 确定与酒精,阿片类药物和兴奋剂相关的重症监护入院的区域模式.
主要方法:
- 使用国家PINC人工智能医疗数据库 (2016-2019) 进行的回顾性观察研究.
- 分析与物质相关的ICD-10诊断的成年人入院情况.
- 美国人口普查部门和城市/农村环境中与物质相关的ICU入院比例的比较.
主要成果:
- 在4,740,799例ICU入院患者中,有16.0%是与药物相关的诊断.
- 新英格兰,太平洋和山区的药物相关诊断负担最高,特别是酒精和阿片类药物.
- 与兴奋剂相关的ICU入院率在太平洋地区不成比例;城市ICU的入院率通常高于农村ICU.
结论:
- 美国物质相关的重症监护室入院人数存在显著的地理和城乡差异.
- 不同地区的药物使用模式需要针对重症监护的定制策略.
- 调查结果突显出需要采取特定区域的方法来缓解物质使用对重症监护资源的影响.
更多相关视频
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
相关概念视频
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Restorative Care
Drug Abuse and Addiction: Pharmacological Phenomena
Acute Respiratory Failure-III
