Impact of deficits in gout care on hospitalizations.
Impact of deficits in gout care on hospitalizations.
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痛风护理不足对住院治疗的影响。
DOI：
10.1097/rhu.0b013e318232615b
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Harrold,LeslieR
中科院分区：
文献类型：
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作者：
Nitichaikulvatana,Prachaya;Upchurch,KatherineS;Harrold,LeslieR
结果有120名患者(17%)被确认为第一次因痛风而住院就诊(经咨询风湿科医生确认)。患者的特征总结见表1。风湿科医生检查发现34例(28%)患者出现TOPHI，其中7例患者以前没有痛风的诊断。在87名既往诊断为痛风的患者中，32名(37%)经晶体证实，而55名患者(63%)经临床确诊。大多数患者(n=83；69%)痛风使他们的住院时间复杂化(表2)。然而，28人(23%)仅仅是因为痛风而入院，原因是无法在家中发挥作用，需要更好地控制疼痛，或者是因为入院医生担心感染病原学是临床表现的原因。在9例(8%)中，痛风是导致入院的直接原因之一。
RESULTSThere were 120 patients (17%) identified as having their first inpatient consultation for gout (confirmed by the consulting rheumatologist). Patients' characteristics are summarized in Table 1. Tophi were found in 34 patients (28%) on examination by the rheumatologists, 7 patients of whom had no previous diagnosis of gout. In the 87 patients with a previous diagnosis of gout, 32 (37%) were crystal-proven, whereas in 55 patients (63%), the diagnosis was made clinically. Most patients (n= 83; 69%) had gout complicate their hospital stay (Table 2). However, 28 (23%) were admitted solely because of gout owing to an inability to function at home, the need for better pain control, or out of concern by the admitting physicians for an infectious etiology as the cause of the clinical presentation. In 9 (8%), gout was one of the immediate conditions that contributed to the hospital admission.