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残疾与医疗急症:秘鲁的一项基于人群的研究。

Disabilities and medical emergencies: a population-based study in Peru.

机构信息

Disability Epidemiology Research Group (EpiDIS), Universidad Científica del Sur, Lima, Perú.

出版信息

Emergencias. 2024 Aug;36(4):257-262. doi: 10.55633/s3me/040.2024.

DOI:10.55633/s3me/040.2024
PMID:39234831
Abstract

OBJECTIVE

To estimate the association between disability and the demand for medical emergency care by citizens of Peru over the age of 18 years in 2019.

METHODS

Cross-sectional analysis of secondary data from the national survey of budgeted programs (ENAPRES, in its Peruvian abbreviation) of 2019. Disabilities were surveyed based on the criteria of the Washington Group on Disability Statistics. Medical emergencies were queried using 2 questions referring to life-threatening situations. Sociodemographic covariables and variables related to certain medical emergencies were also analyzed as possible confounders. Poisson regression analysis was carried out and crude and adjusted prevalence ratios calculated. Calculations were performed on a complex sample of data from the ENAPRES 2019 survey.

RESULTS

Data for 62 959 persons over the age of 18 years were included. Some type of disability was reported by 4.3% of the sample, and 8.7% reported a medical emergency during the past year. Persons with 3 or more disabilities were 2.97-fold more likely to have a medical emergency than persons without disabilities (prevalence ratio, 2.97 (95% CI, 2.28-3.87) after adjustment for multiple confounding variables.

CONCLUSIONS

Disabled persons were more likely to have medical emergencies than persons without disabilities in Peru in 2019. The likelihood of medical emergencies was slightly higher in those with 3 or more disabilities.

摘要

目的

估计 2019 年秘鲁 18 岁以上公民残疾与对医疗急救需求之间的关系。

方法

对 2019 年国家预算计划调查(ENAPRES)的二次数据进行横断面分析。残疾情况根据华盛顿残疾统计小组的标准进行调查。医疗急救情况通过询问 2 个关于危及生命情况的问题进行查询。还分析了社会人口统计学协变量和与某些医疗急救相关的变量,作为可能的混杂因素。进行了 Poisson 回归分析,并计算了粗患病率比和调整后患病率比。在 2019 年 ENAPRES 调查的复杂样本数据上进行了计算。

结果

纳入了 62959 名 18 岁以上的人群。该样本中有 4.3%的人报告有某种残疾,8.7%的人在过去一年中报告有医疗急救。与无残疾者相比,有 3 种或以上残疾者发生医疗急救的可能性高 2.97 倍(调整多个混杂变量后的患病率比,2.97[95%CI,2.28-3.87])。

结论

2019 年秘鲁残疾者比无残疾者更有可能发生医疗急救。有 3 种或以上残疾者发生医疗急救的可能性略高。

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