多发性硬化症患者对急诊部门的使用：一项基于人群的描述性研究，重点关注与感染相关的就诊。
Emergency department use by persons with MS: A population-based descriptive study with a focus on infection-related visits.
机构信息
Division of Neurology, Department of Medicine, Faculty of Medicine, Djavad Mowafaghian Centre for Brain Health, UBC Hospital, The University of British Columbia, Vancouver, BC, Canada.
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
出版信息
Mult Scler. 2022 Oct;28(11):1825-1828. doi: 10.1177/13524585221078497. Epub 2022 Mar 1.
Abstract
We described emergency department (ED) visits (all visits and infection-related) by persons with multiple sclerosis (MS) in British Columbia, Canada (1 April 2012 to 31 December 2017). We identified 15,350 MS cases using health administrative data; 73.4% were women, averaging 51.4 years at study entry. Over 4.9 years of follow-up (mean), 56.0% of MS cases visited an ED (mean = 0.6 visits/person/year; total = 37,072 visits). A diagnosis was documented for 25,698 (69.3%) ED visits, and 18.4% (4725/25,698) were infection-related. Inpatient admissions were reported for 20.4% (5238/25,698) of all and 29.2% (1380/4725) of infection-related ED visits. Findings suggest that the ED plays a substantial role in MS healthcare and infection management.
摘要
我们描述了加拿大不列颠哥伦比亚省多发性硬化症（MS）患者在急诊部（ED）的就诊情况（所有就诊和感染相关）。我们使用健康管理数据确定了 15350 例 MS 病例；73.4%为女性，在研究开始时平均年龄为 51.4 岁。在超过 4.9 年的随访期间（平均），56.0%的 MS 患者到 ED 就诊（平均每人每年 0.6 次就诊；总就诊次数为 37072 次）。有诊断记录的 ED 就诊为 25698 次（占 69.3%），其中 18.4%（4725/25698）与感染有关。所有 ED 就诊中，有 20.4%（5238/25698）和感染相关 ED 就诊中 29.2%（1380/4725）需要住院治疗。这些发现表明，ED 在 MS 医疗保健和感染管理中发挥着重要作用。
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