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嗜酸性食管炎相关急诊科就诊的季节性模式：一项全国数据库分析

Seasonal Patterns in Eosinophilic Esophagitis-Related Emergency Department Visits: A National Database Analysis.

作者信息

Pan Chun-Wei, Dominguez Alejandro Nieto, Guifarro Daniel, Danpanichkul Pojsakorn, Pang Maoyin

机构信息

Department of Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USA.

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

出版信息

Am J Gastroenterol. 2025 May 1;120(5):1135-1139. doi: 10.14309/ajg.0000000000003226. Epub 2024 Nov 26.

DOI:10.14309/ajg.0000000000003226
PMID:39589930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12043264/
Abstract

INTRODUCTION

This study investigates seasonal variations in eosinophilic esophagitis (EoE)-related emergency department visits among adults.

METHODS

We analyzed the National Emergency Department Sample (2016-2021), identifying adult patients with EoE using ICD-10 codes. Generalized additive models assessed seasonal patterns.

RESULTS

Among 18,791 EoE-related emergency department visits, a significant seasonal variation was observed, peaking in summer and nadiring in winter. This pattern was consistent across all US regions.

CONCLUSION

Seasonal dietary habits and social behaviors likely contribute to EoE exacerbations. Healthcare providers should emphasize management strategies during high-risk periods, particularly summer months and weekends.

摘要

引言

本研究调查了成人嗜酸性食管炎（EoE）相关急诊就诊的季节性变化。

方法

我们分析了国家急诊科样本（2016 - 2021年），使用国际疾病分类第十版（ICD - 10）编码识别患有EoE的成年患者。广义相加模型评估季节性模式。

结果

在18791次与EoE相关的急诊就诊中，观察到显著的季节性变化，夏季达到峰值，冬季降至最低点。这种模式在美国所有地区都是一致的。

结论

季节性饮食习惯和社交行为可能导致EoE病情加重。医疗服务提供者应在高危时期，特别是夏季月份和周末，强调管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b2/12043264/5e91f4b51279/acg-120-1135-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b2/12043264/811c517054ec/acg-120-1135-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b2/12043264/5e91f4b51279/acg-120-1135-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b2/12043264/811c517054ec/acg-120-1135-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b2/12043264/5e91f4b51279/acg-120-1135-g003.jpg

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本文引用的文献

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2
The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors.嗜酸性食管炎患者食管食物嵌塞的风险：临床和社会经济因素的作用
Clin Exp Gastroenterol. 2022 Sep 15;15:153-161. doi: 10.2147/CEG.S364994. eCollection 2022.
3
Retrospective chart review: seasonal variation in incidence of bolus impaction is maintained and statistically significant in subgroups with atopy and eosinophilic esophagitis.
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Dis Esophagus. 2020 Jun 15;33(6). doi: 10.1093/dote/doaa013.
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Approaches and Challenges to Management of Pediatric and Adult Patients With Eosinophilic Esophagitis.儿童和成人嗜酸细胞性食管炎患者的管理方法和挑战。
Gastroenterology. 2020 Mar;158(4):840-851. doi: 10.1053/j.gastro.2019.09.052. Epub 2019 Dec 10.
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