摘要
目的探讨导致输入性疟疾患者住院时间延长的危险因素。方法收集2018~2020年我院收治的疟疾患者临床资料,包括住院时间、症状、流行病学史和辅助检查等指标。分析其临床和流行病学特点,使用多元Logistic回归分析患者住院时间超过10 d的危险因素。结果收集到150例患者临床资料,住院时间2~23 d,中位数为7 d, 19.3%(29/150)的患者住院时间≥10 d。通过多元Logistic回归分析,并使用Stepwise方法进行变量选择,入院前是否误诊(OR=8.33,P=0.00)为住院时间≥10 d的危险因素,而单纯感染卵形疟原虫是住院时间延长的保护因素(OR=0.16,P=0.03)。结论入院前是否误诊是住院时间延长的危险因素。部分基层医疗机构缺乏对疟疾疾病的认识,不能在第一时间明确诊断,导致延误病情,需加强对基层医院和非专业传染病收治机构对于疟疾诊断治疗的认识,进一步规范发热门诊的诊治流程。
Objective To investigate potential factors associated with prolonged hospital stay for imported malaria patients.Methods The medical records of imported malaria cases admitted into our hospital from 2018 to 2020 were collected,includeding the epidemiological and clinical data.The clinical and epidemiological features were analyzed by using multivariate Logitsitc regression to indentify the potential factors associated with length of hospital stay longer than 10 days.Results Total of 150 cases were retrospectively enrolled in this study with the length of hospital stay from 2 to 23 days.Twenty-nine patients(19.3%,29/150)had stayed in hospital for longer than 10 days.After Logistic regression and Stepwise varibles selection.The misdiagnosis before admission was the risk factor for prolonged hospital stay(≥10 days).Infection by P.ovale sololy was the protective factor for prolonged hospital stay(≥10 days).Conclusion The misdiagnosis before admission is the risk factor for prolonged hospital stay.Some primary medical institutions lack the knowledge of malaria and fail to make a clear diagnosis in the first time,which leads to delayed treatment.It is necessary to strengthen the understanding of malaria diagnosis and treatment in primary and non-specialized infectious diseases institutions,and further standardize the diagnosis and treatment process of fever clinics.
作者
金鸿
黄亮
王林
Jin Hong;Huang Liang;Wang Lin(Chengdu Public Health Clinical Medical Center,Chengdu,Sichuan 610000,China.)
出处
《四川医学》
CAS
2022年第1期67-71,共5页
Sichuan Medical Journal
关键词
疟疾
住院时间延长
危险因素
malria
prolonged hospital stay
risk factors
