隐藏的负担:患者报告和临床记录的严重喘恶化之间存在差异
Takeshi Matsumoto1, Hiroki Suga1, Yuichi Kajiwara1
1Department of Respiratory Medicine, Saiseikai-Noe Hospital, Osaka, Japan.
概括
许多喘患者错误地报告了恶化的频率,年轻人和患有严重或控制不良喘的人更容易报告不足. 准确的恶化计数对于有效的喘管理至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 临床医学 临床医学
- 患者报告的结果
背景情况:
- 准确的喘恶化频率对于有效的疾病管理至关重要.
- 患者召回和恶化的临床文档之间经常存在差异.
研究的目的:
- 调查患者报告和临床记录的喘恶化之间的差异特征.
- 确定与报道不足和报道过多的恶化相关的因素.
主要方法:
- 在一年时间内对289名喘患者进行了回顾性评估.
- 严重的恶化,定义为系统性皮质类固醇使用 (≥3天).
- 根据事件计数,患者被分类为一致,报告不足或报告过多的组.
主要成果:
- 患者报告与医疗记录之间的一致性较弱 (κ = 0.26).
- 11.4%的严重恶化报告不足,4.1%的严重恶化报告过多.
- 报告不足与年龄较小,GINA第5步和喘控制测试 (ACT) 分数较低有关.
结论:
- 很大一部分喘患者误解了他们每年恶化的频率.
- 患有严重或控制不良喘的患者需要集中注意力,因为报告的不准确性更高.
相关概念视频
Asthma-III: Symptoms and Complications
3.2K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
3.2K
Asthma-IV: Diagnostic and Management
3.0K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
3.0K
Asthma-II: Pathophysiology and Classification
4.0K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
4.0K
Respiratory System Abnormal Finding I: Inspection and Percussion
732
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
732
Asthma-IV: Nursing Management
3.7K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.7K
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K


