Emergency department utilization among individuals with idiopathic intracranial hypertension
Emergency department utilization among individuals with idiopathic intracranial hypertension
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DOI：
10.1108/ijhcqa-04-2017-0060
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发表时间：
2019-02-11
影响因子：
1.5
通讯作者：
Tanne, Emanuel
中科院分区：
文献类型：
--
作者：
Murphy, Sean;Friesner, Daniel L.;Tanne, Emanuel
目的特发性颅内高压（IIH）是一种很难识别和治疗的使人衰弱的疾病，如果不能充分处理IIH症状，可能会迫使患者到急诊科（ED）寻求症状缓解。本文的目的是经验性的特点艾德使用先前诊断IIH患者。设计/方法/途径2014年之前在颅内高压登记处登记的诊断为IIH的患者被征集纳入研究。设计了一项调查，以了解2010-2012年期间艾德的使用情况。收集有关人口统计学和社会经济学特征、IIH体征和症状、自诊断以来的时间、艾德使用前景和生活质量的信息。生活质量采用偏头痛特异性生活质量问卷进行评估。使用描述性统计和非参数假设检验分析数据。结果-总的来说，39%的IIH患者在研究期间使用急诊服务，那些没有强烈使用的服务。这些患者更有可能是非白人，生活在年收入低于25，000美元的家庭中，有公共保险并接受了分流手术。使用艾德的患者不太可能生活在年收入10万美元或以上的家庭中，并且有私人保险。使用艾德的参与者的生活质量评分明显较低，年龄较小，诊断为IIH的时间较短。独创性/价值艾德工作人员和外部医生可以利用本研究中包含的信息，更有效地认识到IIH患者的独特情况下，目前在ED。
Purpose Idiopathic intracranial hypertension (IIH) can be a debilitating disorder that is difficult to identify and treat. Failure to adequately manage IIH symptoms may force patients to present at emergency departments (EDs) seeking symptom relief. The purpose of this paper is to empirically characterize ED use by previously diagnosed IIH patients. Design/methodology/approach Patients diagnosed with IIH, and who registered with the Intracranial Hypertension Registry by 2014, were solicited for study inclusion. A survey was designed to elicit ED use during the period 2010-2012. Information on demographic and socioeconomic characteristics, IIH signs and symptoms, time since diagnosis, perspectives of ED use and quality of life was collected. Quality of life was assessed using an adaptation of the Migraine-Specific Quality of Life Questionnaire. Data were analyzed using descriptive statistics and nonparametric hypothesis tests. Findings In total, 39 percent of IIH patients used emergency services over the study period; those that did used the services intensely. These patients were more likely to be non-white, live in households making less than $25,000 annually, have public insurance and have received a diversional shunt procedure. Patients who used the ED were less likely to live in households making $100,000, or more, annually and have private insurance. Participants who used the ED had significantly lower quality-of-life scores, were younger and had been diagnosed with IIH for less time. Originality/value ED staff and outside physicians can utilize the information contained in this study to more effectively recognize the unique circumstances of IIH patients who present at EDs.