儿童哮喘的诊断延迟及其对呼吸科会诊率的影响。
Delay in diagnosis of childhood asthma and its influence on respiratory consultation rates.
作者信息
Charlton I, Jones K, Bain J
机构信息
Primary Medical Care Group, University of Southampton, Aldermoor Health Centre, Southampton.
出版信息
Arch Dis Child. 1991 May;66(5):633-5. doi: 10.1136/adc.66.5.633.
A survey of cases of asthma in two general practices with a special interest in the disease identified 212 asthmatic children aged 0-16 years by the end of January 1989 who had been registered in that practice since birth. Delay in diagnosis, both in terms of time (median 2.95 years) and number of consultations (median 7), was considerable. Annual rates of consultations for respiratory symptoms that were initiated by the patients fell significantly after diagnosis (median before = 1.80, after = 0.95 consultations/year), but the number initiated by the doctors rose significantly (median before = 0, after = 1.01 consultations/year). The overall rates before and after diagnosis were not significantly different (median before = 2.04, after = 2.21 consultations/year). Increased efforts are required to reduce this delay thereby minimising the morbidity of asthma in childhood.
对两家对哮喘病特别关注的普通诊所的病例进行调查发现，到1989年1月底，在这两家诊所自出生起就登记在册的0至16岁哮喘儿童有212名。在诊断时间（中位数为2.95年）和就诊次数（中位数为7次）方面，诊断延误情况相当严重。患者引发的呼吸道症状的年就诊率在诊断后显著下降（诊断前中位数 = 每年1.80次，诊断后 = 每年0.95次），但医生引发的就诊次数则显著上升（诊断前中位数 = 0次，诊断后 = 每年1.01次）。诊断前后的总体就诊率没有显著差异（诊断前中位数 = 每年2.04次，诊断后 = 每年2.21次）。需要加大力度减少这种延误，从而将儿童哮喘的发病率降至最低。
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