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空气污染对成年哮喘患者住院时间的影响。

The effects of air pollution on length of hospital stay for adult patients with asthma.

作者信息

Luo Li, Ren Jing, Zhang Fengyi, Zhang Wei, Li Chunyang, Qiu Zhixin, Huang Debin

机构信息

Business School, Sichuan University, Chengdu, China.

West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Int J Health Plann Manage. 2018 Apr 23. doi: 10.1002/hpm.2532.

Abstract

Length of hospital stay (LOS) of asthma can be a reflection of the disease burden faced by patients, and it is also sensitive to air pollution. This study aims at estimating and validating the effects of air pollution and readmission on the LOS for those who have asthma, considering their readmission history, minimum temperature, and threshold effects of air pollutants. In addition, sex, age, and season were also constructed for stratification to achieve more precise and specific results. The results show that no significant effects of PM and NO on LOS were observed in any of the patients, but there were significant effects of PM and NO on LOS when a stratifying subgroup analysis was performed. The effect of PM on LOS was found to be lower than that of PM and higher than that of NO . SO did not have a significant effect on LOS for patients with asthma in our study. Our study confirmed that the adverse effects of air pollutants (such as PM ) on LOS for patients with asthma existed; in addition, these effects vary for different stratifications. We measured the effects of air pollutants on the LOS for patients with asthma, and this study offers policy makers quantitative evidence that can support relevant policies for health care resource management and ambient air pollutants control.

摘要

哮喘患者的住院时长(LOS)可以反映患者所面临的疾病负担,并且它对空气污染也很敏感。本研究旨在估计和验证空气污染及再入院对哮喘患者住院时长的影响,同时考虑他们的再入院史、最低温度以及空气污染物的阈值效应。此外,还构建了性别、年龄和季节进行分层,以获得更精确和具体的结果。结果表明,在所有患者中均未观察到PM和NO对住院时长有显著影响,但在进行分层亚组分析时,PM和NO对住院时长有显著影响。发现PM对住院时长的影响低于PM 且高于NO 。在我们的研究中,SO对哮喘患者的住院时长没有显著影响。我们的研究证实,空气污染物(如PM )对哮喘患者的住院时长存在不良影响;此外,这些影响在不同分层中有所不同。我们测量了空气污染物对哮喘患者住院时长的影响,本研究为政策制定者提供了定量证据,可支持有关医疗资源管理和环境空气污染物控制的相关政策。

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