Allergy Asthma Proc:研究确定参加急诊科的患者哮喘复发的预测因子

2018-08-13 MedSci MedSci原创

哮喘急性发作和频繁复发需要进入急诊室(ED)的患者往往患有更严重的疾病,生活质量更差,以及更多地使用医疗保健资源。本研究旨在确定患者在ED治疗哮喘急性发作后复发的潜在预测因素。采用回顾性非介入性队列研究设计,纳入2014年因急性哮喘急性发作而就诊三级医院的成人患者。分析至少经历过一次复发的患者(在上次事件发生后15天内返回ED)。结果,831例患者中有52例在进入ED后经历了66次复发(年龄:平均

哮喘急性发作和频繁复发需要进入急诊室(ED)的患者往往患有更严重的疾病,生活质量更差,以及更多地使用医疗保健资源。本研究旨在确定患者在ED治疗哮喘急性发作后复发的潜在预测因素。

采用回顾性非介入性队列研究设计,纳入2014年因急性哮喘急性发作而就诊三级医院的成人患者。分析至少经历过一次复发的患者(在上次事件发生后15天内返回ED)。

结果,831例患者中有52例在进入ED后经历了66次复发(年龄:平均值±标准差[SD],58.5±23.4岁)。平均复发率为6±0.8%。5月和11月的发作频率较高。24例患者IBD%E8%AF%8A%E6%B2%BB%E8%BF%87%E7%A8%8B%E4%B8%AD%E7%9A%84%E8%AF%84%E4%BC%B0-Part%202" target="_blank">血液中≥260嗜酸性粒细胞/μL,其中17例≥400嗜酸性粒细胞/μL。只有15%的患者在出院时被转诊给哮喘专科医生。与较高复发率相关的因素如下:1年内多次就诊ED,无法控制的哮喘,肺部听诊时喘息,外周嗜酸性粒细胞增多≥400嗜酸性粒细胞/μL,并在首次就诊时出院(p <0.01)。

综上所述,该研究结果表明,在该人群中,1年内有多次ED就诊,哮喘未控制,喘息,≥400血嗜酸性粒细胞/μL,或者在第一次就诊时出院的患者,复发风险较高。

原始出处:

Pola-Bibian B, Dominguez-Ortega J, et al., Predictors of asthma relapse in patients who attended an emergency department. Allergy Asthma Proc. 2018 Jul 1;39(4):292-298. doi: 10.2500/aap.2018.39.4130.


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    2019-05-22 linlin2312
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    2018-12-13 skhzy
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createdBy=29392048316, createdName=王秀, createdTime=Tue Aug 14 22:58:06 CST 2018, time=2018-08-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=338486, encodeId=13db338486e3, content=哮喘复发的预测因子。, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/16/3b24606172648eea459125cb74754afe.jpg, createdBy=6c022216608, createdName=liumin1987, createdTime=Tue Aug 14 08:21:50 CST 2018, time=2018-08-14, status=1, ipAttribution=)]
    2018-08-23 飛歌

    厉害了我的妹

    0

  5. 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    2018-08-15 sunylz
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    2018-08-15 膀胱癌
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    2018-08-14 王秀

    学习了,涨知识了!

    0

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    2018-08-14 liumin1987

    哮喘复发的预测因子。

    0