Multidisciplinary clinic contributes to the decreasing trend in the number of emergency hospitalizations for amyotrophic lateral sclerosis in Japan
Multidisciplinary clinic contributes to the decreasing trend in the number of emergency hospitalizations for amyotrophic lateral sclerosis in Japan
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多学科诊所有助于日本肌萎缩侧索硬化症紧急住院人数的下降趋势
DOI：
10.1016/j.jocn.2022.10.011
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发表时间：
2023
影响因子：
2
通讯作者：
Ebihara Satoru
中科院分区：
文献类型：
--
作者：
Sugisawa Tatsuki;Morioka Harumi;Hirayama Takehisa;Kano Osamu;Ebihara Satoru
背景肌萎缩侧索硬化症（ALS）的多学科护理建议。我们于2017年2月在日本开设了第一家多学科护理“ALS诊所”。本研究旨在阐明多学科护理对急诊住院人数和发病率的影响，以及ALS患者的生存率。MethodsWe研究了ALS患者的病历，他们在2014年3月1日至2020年2月29日期间访问了我院，在一项回顾性研究。所有患者被分为两组：一个普通神经科诊所组（GNC）和ALS诊所组（AC），根据第一次访问我们hospital.ResultsThe调查参与者包括90例ALS患者（32在GNC与58在AC）的持续时间。GNC的平均随访时间为276 ± 257天，AC为307 ± 267天。紧急住院人数为GNC 11人，AC 9人。AC中发生2次或2次以上紧急住院的患者数量减少（GNC中3例vs AC中0例），差异具有统计学意义（p = 0.04）。两组之间的生存率有显着差异（p = 0.01）。ConclusionsOur结果表明，通过ALS多学科护理在医院设置干预有效地控制急诊住院治疗，提高ALS患者的生存率。建议进行多学科护理，因为随着病情的进展，需要进行各种药物治疗。
BackgroundMultidisciplinary care is recommended for amyotrophic lateral sclerosis (ALS). We opened the first multidisciplinary care “ALS clinic” in Japan in February 2017. This study aimed to clarify the impact of multidisciplinary care on the number and incidence rate of emergency hospitalizations, as well as the survival rate of patients with ALS.MethodsWe studied the medical charts of patients with ALS who visited our hospital between March 1, 2014, and February 29, 2020, in a retrospective study. All patients were divided into two groups: a General Neurology Clinic group (GNC) and an ALS Clinic group (AC), based on the duration of the first visit to our hospital.ResultsThe survey participants included 90 patients with ALS (32 in the GNC vs 58 in the AC). The mean follow-up duration was 276 ± 257 days in the GNC and 307 ± 267 days in the AC. The number of emergency hospitalizations was 11 in the GNC and nine in the AC. The number of patients with two or more emergency hospitalizations was decreased in the AC (3 in the GNC vs 0 in the AC), which was statistically significantly different (p = 0.04). The survival rate was significantly different between the two groups (p = 0.01).ConclusionsOur results suggest that intervention through ALS multidisciplinary care in the hospital setting effectively controls emergency hospitalizations and improves the survival rate in patients with ALS. Multidisciplinary care is recommended since various medical treatments are required as the condition progresses.
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影响因子：
11
作者：
Chiò, A.;Bottacchi, E.;Mora, G.
通讯作者：
Mora, G.
ALS 患者的医院利用率和结果趋势
影响因子：
9.9
作者：
R. Dubinsky;Jeffrey Chen;S. Lai
通讯作者：
S. Lai
影响因子：
4.4
作者：
Corr, B;Frost, E;Hardiman, O
通讯作者：
Hardiman, O
影响因子：
5.7
作者：
Millul, A;Beghi, E;Zardi, A
通讯作者：
Zardi, A
ALS 多学科临床和生存
影响因子：
6
作者：
S. Zoccolella;E. Beghi;G. Palagano;A. Fraddosio;V. Guerra;V. Lepore;I. Simone;P. Lamberti;L. Serlenga;G. Logroscino
通讯作者：
G. Logroscino