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儿童感觉神经性听力损失住院患者的特征:来自 2016 年 KID 数据库的分析。

Patient characteristics of pediatric inpatients with sensorineural hearing loss: Insights from the 2016 KID database.

机构信息

Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States of America.

Department of Otolaryngology - Head and Neck Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States of America.

出版信息

Am J Otolaryngol. 2024 Jan-Feb;45(1):104077. doi: 10.1016/j.amjoto.2023.104077. Epub 2023 Oct 11.

Abstract

UNLABELLED

This study examines how patient demographics impact pediatric sensorineural hearing loss (SNHL) prevalence using the 2016 Kids' Inpatient Database (KID). By analyzing age, gender, race, income, insurance, and region, the study provides insights for early intervention and diagnosis. Multivariate regression analysis reveals associations between these factors and SNHL occurrence.

OBJECTIVE

This study aims to assess the influence of patient demographics on pediatric SNHL prevalence, offering guidance for early detection and intervention strategies.

STUDY DESIGN

Using 2016 KID data, this retrospective analysis investigates how patient factors like age, gender, race, income, insurance, and region relate to SNHL prevalence. Multivariate regression is employed to control for potential confounders.

METHODS

Data from 6,266,285 patient discharges, including 9997 hearing loss cases, are analyzed. SNHL prevalence is calculated, and demographic variables are examined. Weighted odds ratios and multivariate regression are used to assess associations.

RESULTS

The study finds an overall SNHL prevalence of 101.67 cases per 100,000 discharges in 2016. Non-Hispanic White patients show the highest prevalence. Black patients are more likely to be diagnosed, while Hispanic patients are less likely. Multivariate analysis highlights race, income, insurance, region, age, and sex as significant confounders.

CONCLUSION

This study underscores the impact of patient demographics on pediatric SNHL prevalence. Factors like race, income, insurance, and region play a role. These findings aid in risk assessment, early identification, and tailored interventions. Further research can uncover socioeconomic disparities and underlying mechanisms.

摘要

本研究使用 2016 年儿童住院数据库(KID)检查患者人口统计学特征如何影响儿科感音神经性听力损失(SNHL)的患病率。通过分析年龄、性别、种族、收入、保险和地区,该研究为早期干预和诊断提供了见解。多变量回归分析揭示了这些因素与 SNHL 发生之间的关联。

目的

本研究旨在评估患者人口统计学特征对儿科 SNHL 患病率的影响,为早期发现和干预策略提供指导。

研究设计

使用 2016 年 KID 数据,本回顾性分析调查了患者因素(如年龄、性别、种族、收入、保险和地区)与 SNHL 患病率的关系。采用多变量回归控制潜在混杂因素。

方法

分析了 6266285 名患者出院数据,包括 9997 例听力损失病例。计算了 SNHL 的患病率,并检查了人口统计学变量。使用加权比值比和多变量回归评估关联。

结果

研究发现,2016 年总体 SNHL 患病率为每 100000 名出院患者中有 101.67 例。非西班牙裔白人患者的患病率最高。黑种人患者更有可能被诊断出,而西班牙裔患者则不太可能。多变量分析突出了种族、收入、保险、地区、年龄和性别是重要的混杂因素。

结论

本研究强调了患者人口统计学特征对儿科 SNHL 患病率的影响。种族、收入、保险和地区等因素起着重要作用。这些发现有助于风险评估、早期识别和针对性干预。进一步的研究可以揭示社会经济差异和潜在机制。

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