影响美国憩室出血的季节变化和因素。

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lindsay Talemal, Kausthubha Yaratha, Brian V Monahan, Daohai Yu, Xiaoning Lu, Juan Lucas Poggio
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引用次数: 0

摘要

背景:憩室炎住院的季节变化呈正弦曲线型,夏季达到高峰。在美国,关于憩室出血住院的季节性、区域性趋势和风险因素知之甚少。研究设计:使用医疗保健成本和利用项目的全国住院病人样本进行横断面人口数据库审查。方法:选取2015年1月1日至2017年12月31日收治的诊断为憩室炎伴出血或憩室病伴出血的患者,按月份和季节进行分类。然后,探讨地区、年龄、性别、种族和患者危险因素对憩室出血季节性入院的潜在影响,并在SAS中分析数据,在Excel中分别使用卡方和Kruskal-Wallis表示分类变量和连续变量。结果54191例憩室出血住院患者中,春季和夏季为出血高峰和最低季节(25.5%比24.2%,PPPPP=0.016),春季出血事件较多。这在美国各地区、性别、种族和年龄都有体现。最终,南部地区憩室出血入院率最高,为40.9%。结论:更好地了解这些季节和区域趋势可能为确定憩室出血事件的潜在触发因素提供机制。这有助于确定住院风险最大的个人,并使医院做好准备,在季节期间适当分配供应品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Seasonal Variations and Factors that Influence Diverticular Bleeding in the United States of America.

Seasonal Variations and Factors that Influence Diverticular Bleeding in the United States of America.

Seasonal Variations and Factors that Influence Diverticular Bleeding in the United States of America.

Seasonal Variations and Factors that Influence Diverticular Bleeding in the United States of America.

Background: Seasonal variation in hospitalizations for diverticulitis has a sinusoidal pattern, peaking in summer. Little is known about seasonal, regional trends, and risk factors associated with hospital admissions regarding diverticular bleeding in the United States.

Study design: Cross-sectional population database review using the healthcare cost and utilization project's national inpatient sample.

Methods: Patients that had diagnoses of diverticulitis with bleeding or diverticulosis with bleeding admitted from January 1, 2015, through December 31, 2017, were identified and stratified by month and season. Then, the potential effects of region, age, gender, race, and patient risk factors on seasonal admissions for diverticular bleeding were explored, and data were analyzed in SAS and presented in Excel using chi-square and Kruskal-Wallis for categorical and continuous variables, respectively.

Results: Of the 54191 hospitalized cases for diverticular bleeding, the peak and the lowest seasons were spring and summer (25.5% vs. 24.2%, P<0.0001). A significant seasonal pattern in comorbidities was also identified, and those with diabetes (P<0.0001), hypertension (HTN) (P<0.0001), obesity (P<0.0001), and those on anticoagulants (P=0.016) all had more bleeding events in the spring. This was noted across US regions, gender, race, and age. Eventually, the southern region had the most admissions for diverticular bleeding at 40.9% (P<0.0001).

Conclusion: A better understanding of these seasonal and regional trends may provide a mechanism to identify a potential trigger for diverticular bleeding events. This helps identify individuals at greatest risk for hospitalization, as well as prepare hospitals to allocate supplies appropriately during the seasons.

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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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