下呼吸道诊断的趋势和非推的支气管炎治疗方法
Alicia Lew1, Samantha House2, Brian Flaherty3
1Division of Pediatric Critical Care, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
在儿童中,支气管炎的诊断显著增加,而使用支气管扩展剂等非推治疗方法的使用减少. 这表明,诊断转移可能会影响下呼吸道感染的治疗趋势.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健信息学 医疗保健信息学
- 临床流行病学 临床流行病学
背景情况:
- 由于症状重叠,区分支气管炎与其他下呼吸道感染 (LRT) 在临床上具有挑战性.
- 不推的支气管炎治疗方法的减少可能会受到诊断实践的变化的影响.
研究的目的:
- 调查儿童下呼吸道疾病 (LRT) 诊断的趋势.
- 评估诊断转换与用于支气管炎的非推疗法的关系.
主要方法:
- 一项多中心回顾性队列研究分析了2010年至2022年2岁以下儿童的1,023,745次LRT遭遇.
- 检查了支气管炎,喘和肺炎诊断的趋势,以及支气管扩展剂,全身类固醇和抗生素的使用.
- 数据来源于儿科健康信息系统数据库.
主要成果:
- 被诊断为支气管炎的LRT疾病的比例每年从55.4%上升到79.6%.
- 与此同时,喘和肺炎的诊断减少,而支气管扩展剂,类固醇和抗生素的使用均下降.
- 对于LRT诊断的重新检查没有观察到任何显著的变化.
结论:
- 支气管炎诊断的增加趋势与非推治疗使用的减少有关.
- 这表明,治疗管理计划可能会影响儿科下呼吸道感染的诊断任务.
- 需要进一步的研究,以充分理解支气管炎管理中的诊断和治疗之间的相互作用.
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