哮喘患者自我伤害行为发生前的医疗保健利用率、身体和精神并发症：巢式病例对照研究

IF 3.7 3区医学 Q2 ALLERGY

Journal of Asthma and Allergy Pub Date : 2024-05-07 DOI:10.2147/jaa.s449337

Yen-Hsun Huang, Hsien-Chih Chiou, Chun-Hung Pan, I-Shuan Wang, Ya-Tang Liao, Sheng-Siang Su, Chiao-Chicy Chen, Chian-Jue Kuo

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引用次数: 0

摘要

背景：目的：本研究分析了哮喘患者自我伤害行为发生前的医疗使用情况和并发症：方法：我们从台湾国民健康保险研究数据库中选取了 186 862 名在 1999 年至 2013 年期间新确诊的哮喘患者。在研究期间，共有 500 名病例对象曾有过自伤行为。基于巢式病例对照研究，每个病例与来自哮喘队列的10个对照组进行配对，分析他们之间的差异及其医疗使用模式：结果表明，与对照组相比，病例的门诊和住院频率更高。在合并症方面，与对照组相比，病例患有更多的心血管疾病（调整后比值比 [aOR]=1.58; p< 0.001）、双相情感障碍（aOR=2.97; p< 0.001）、抑郁症（aOR=4.44; p< 0.001）和睡眠障碍（aOR=1.83; p< 0.001）：该循证信息可为医务人员减少哮喘患者自伤行为的发生提供参考。

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Healthcare Utilization, Physical and Psychiatric Comorbidities Before Self-Injurious Behavior in Patients with Asthma: A Nested Case-Control Study

Background: Patients with asthma experience more physical, psychological, and financial burdens; a link between asthma and suicidality has been reported in research.
Purpose: This study analyzed the medical utilization and comorbidity before their self-injurious behavior in patients with asthma.
Methods: We enrolled 186,862 patients newly diagnosed with asthma between 1999 and 2013 from the National Health Insurance Research Database in Taiwan. A total of 500 case subjects had ever conducted self-injurious behaviors during the study period. Based on a nested case-control study, each case was matched with 10 controls derived from the asthma cohort to analyze differences between them and their medical use models.
Results: The results indicated that, compared to the control group, the cases presented higher frequencies of outpatient visits and hospitalizations. Regarding comorbidity, the cases had more cardiovascular diseases (adjusted odds ratio [aOR]=1.58; p< 0.001), bipolar disorder (aOR=2.97; p< 0.001), depression (aOR=4.44; p< 0.001), and sleep disorder (aOR=1.83; p< 0.001) than the controls.
Conclusion: The evidence-based information serves as a reference for medical staff to reduce the occurrence of self-injurious behavior in patients with asthma.

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来源期刊

Journal of Asthma and Allergy Medicine-Immunology and Allergy

CiteScore

5.30

自引率

6.20%

发文量

185

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal publishing original research, reports, editorials and commentaries on the following topics: Asthma; Pulmonary physiology; Asthma related clinical health; Clinical immunology and the immunological basis of disease; Pharmacological interventions and new therapies. Although the main focus of the journal will be to publish research and clinical results in humans, preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies.