在美国,恶性耳炎外部病例的增加. 在过去的20年里,教学医院
Amor Niksic1, Hitomi Sakano, Daniel E Killeen
1Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
概括
恶性外耳炎 (MOE) 的住院治疗越来越多地转移到美国的教学医院. 这些学术中心现在管理更复杂的MOE案件,影响医疗保健准入和公平.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 外耳恶性炎 (MOE) 是一种严重的感染,主要影响糖尿病的老年患者.
- 了解MOE住院治疗的国家趋势对于资源配置和患者护理至关重要.
研究的目的:
- 分析恶性外耳炎 (MOE) 住院病例的国家趋势.
- 为了比较MOE患者的教学与非教学医院的入院率.
主要方法:
- 使用国家住院样本 (NIS) 数据库进行回顾性队列研究.
- 从1998年到2021年,对成年MOE患者的美国住院住院病人的分析.
- 多变量后勤回归用于识别与教学医院入院和时间趋势分析相关的因素.
主要成果:
- 从1998年到2021年,MOE在教学医院的入院人数增长了290.6%,而非教学医院的入院人数下降了55.8%.
- 教学医院占MOE入院的57.7%,治疗患者的并发症负担较高,包括糖尿病,艾滋病和转移性癌症.
- 在研究期间,每年入院教学医院的几率增加了8%.
结论:
- 在过去的20年里,MOE住院情况在美国的教学医院中显著集中.
- 学术中心管理的MOE患者有更大的医疗复杂性和免疫功能低下的条件.
- 调查结果突出了医疗保健获取,公平性和MOE护理资源分配的关键问题.
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