在状细胞疾病中ED访问的时间趋势和决定因素:沙特阿拉伯 (2016-2021) 的多中心EHR研究 (2016-2021)
Majed Ramadan1, Marya Bagatadah2, Olwa Marwah2
1Population Health Research Section, King Abdullah International Medical Research Center (KAIMRC), King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia.
Frontiers in medicine
|February 23, 2026
概括
沙特阿拉伯状细胞病患者的急诊室访问从2016年到2021年显著增加. 这种增加表明临床严重性和护理缺口,需要改善疼痛管理和门诊服务.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 状细胞病 (SCD) 是沙特阿拉伯的一个重大慢性血液学疾病.
- 患者经历反复的血管闭塞危机 (VOC) 和急性疼痛,导致频繁的急诊室 (ED) 访问.
- 关于该地区ED使用模式及其预测因素的纵向数据有限.
研究的目的:
- 评估2016年至2021年沙特阿拉伯SCD患者中ED利用的时间趋势.
- 在这个患者群体中确定ED利用的预测因素.
- 评估临床严重程度和系统级因素对ED依赖性的影响.
主要方法:
- 一项多中心的回顾性队列研究分析了来自国家卫队卫生事务 (NGHA) 电子健康记录 (EHR) 系统的数据.
- 包括691名确诊SCD诊断的患者 (ICD-10代码D57) 和在2016年至2021年期间至少一次ED访问.
- 用多变量负二项回归来分析每年每位患者的急救诊所访问情况,并根据人口统计学,并发病情况和医院地点进行调整.
主要成果:
- 紧急救护诊所的访问量从2016年的9.2个急剧上升到2021年的每位患者的38.8个 (+76.3%,P < 0.001).
- 入院病例也显著增加 (6.3至13.6,P<0.001).
- 男性性别,年龄较大和喘是ED利用率较高的预测因素. 在96.5%的访问中,阿片类药物被处方.
结论:
- 沙特阿拉伯SCD患者中ED利用率在2016年至2021年期间大幅增加.
- 研究结果表明,临床严重程度和系统级护理差距都会导致高程度的ED依赖.
- 标准化疼痛方案和加强门诊服务对于减少可预防的急救诊所访问至关重要.
相关概念视频
Issues And Trends In Healthcare Delivery System
6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K
Factors Affecting Illness
5.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.4K
Methods of Documentation VII: EMR
1.6K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.6K
Factors Affecting Erythropoiesis
8.4K
The cardiovascular system regulates the number of erythrocytes in the bloodstream to ensure optimal oxygen transport. It also prevents over-proliferation of these cells, which helps to maintain blood viscosity and flow rate.
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
8.4K
Acute Kidney Injury IV: Diagnostic Studies and Prevention
582
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
582

