Disabilities and medical emergencies: a population-based study in Peru.

Mayra Alejandra Jiménez-Lozada, Luis Daniel López-Magallanes, Juan Jhonnel Alarco
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Abstract

Objective: To estimate the association between disability and the demand for medical emergency care by citizens of Peru over the age of 18 years in 2019.

Methods: Cross-sectional analysis of secondary data from the national survey of budgeted programs (ENAPRES, in its Peruvian abbreviation) of 2019. Disabilities were surveyed based on the criteria of the Washington Group on Disability Statistics. Medical emergencies were queried using 2 questions referring to life-threatening situations. Sociodemographic covariables and variables related to certain medical emergencies were also analyzed as possible confounders. Poisson regression analysis was carried out and crude and adjusted prevalence ratios calculated. Calculations were performed on a complex sample of data from the ENAPRES 2019 survey.

Results: Data for 62 959 persons over the age of 18 years were included. Some type of disability was reported by 4.3% of the sample, and 8.7% reported a medical emergency during the past year. Persons with 3 or more disabilities were 2.97-fold more likely to have a medical emergency than persons without disabilities (prevalence ratio, 2.97 (95% CI, 2.28-3.87) after adjustment for multiple confounding variables.

Conclusions: Disabled persons were more likely to have medical emergencies than persons without disabilities in Peru in 2019. The likelihood of medical emergencies was slightly higher in those with 3 or more disabilities.

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残疾与医疗紧急情况:秘鲁人口研究。
目的估计 2019 年秘鲁 18 岁以上公民的残疾情况与医疗急救需求之间的关联:对 2019 年全国预算项目调查(ENAPRES,秘鲁语缩写)的二手数据进行横截面分析。残疾情况根据华盛顿残疾统计小组的标准进行调查。医疗紧急情况的调查使用了两个涉及危及生命情况的问题。社会人口协变量和与某些医疗紧急情况相关的变量也作为可能的混杂因素进行了分析。进行了泊松回归分析,并计算了粗略流行率和调整流行率。计算是根据 ENAPRES 2019 调查的复杂数据样本进行的:纳入了 62 959 名 18 岁以上人口的数据。4.3%的样本报告了某种类型的残疾,8.7%的样本报告在过去一年中发生过医疗紧急情况。在对多种混杂变量进行调整后,患有三种或三种以上残疾的人发生医疗紧急情况的可能性是非残疾人的 2.97 倍(患病率比为 2.97(95% CI,2.28-3.87)):2019年,秘鲁残疾人比非残疾人更有可能出现医疗紧急情况。有三种或三种以上残疾的人发生医疗紧急情况的可能性略高。
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