慢性阻塞性肺部疾病患者住院病例的区域差异
Alhareth Alsagban1, Scott Mitchell Wright1, Che' Matthew Harris1
1From the Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Southern medical journal
|October 1, 2025
概括
与南方患者相比,东北地区的慢性阻塞性肺病 (COPD) 住院患者经历了更糟糕的结果和更高的成本. 较低的温度可能会影响COPD恶化,影响住院治疗.
科学领域:
- 环境健康 环境健康
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 极端温度会对肺功能产生不利影响.
- 环境温度的地理变化可能会影响呼吸道疾病的健康结果.
研究的目的:
- 调查美国慢性阻塞性肺病 (COPD) 患者的区域环境温度变化和医院结局之间的关联.
- 为了比较美国东北部和南部的COPD住院病人的死亡率,资源利用率和出院情况.
主要方法:
- 利用了2016-2019年国家住院患者样本数据库.
- 在美国东北部与美国南部,与COPD住院的成年患者进行比较.
- 进行多变量回归分析以评估结果.
主要成果:
- 与南方相比,东北地区的患者在住院死亡率 (AOR 1.1,P=0.03) 的调整几率更高,在家出院的可能性更低 (AOR 0.63,P<0.01).
- 东北地区的患者住院时间较长 (+0.19天,P<0.01),住院费用较高 (+3728美元,P<0.01).
- 在这两个地区,COPD住院率最低的月份是最热的月份 (7月至8月).
结论:
- 与南方相比,东北地区的COPD住院病例与更差的临床结果和资源利用率的增加有关.
- 较寒冷的月份入院率较高表明,较寒冷的环境温度对COPD恶化的潜在影响.
- 研究结果强调了环境因素对COPD患者管理和医疗保健资源分配的影响.
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