埃塞俄比亚西南部米津特皮大学教学医院成人结核病患者康复时间模型

A. Terefe, Lami Abebe Gebrewold
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引用次数: 2

摘要

背景:结核病是一种慢性传染病,几个世纪以来一直是一个主要的健康问题,它造成的人类苦难、痛苦和收入损失以及经济和社会发展的失败比任何其他疾病都要多。本研究的目的是评估在米赞特皮大学教学医院接受治疗随访的成年结核病患者与康复时间相关的预后因素的影响。研究设计:回顾性队列研究。方法:数据来源于2011年9月至2016年8月在DOTS项目下治疗的结核病患者病历。采用Kaplan-Meier和Cox比例风险模型。变量选择采用逆向选择程序。结果:本组康复率为75%,死亡率为4.4%,违约率为9.7%,失败率为4.9%,转出率为6%。患者的中位恢复时间为185天(6个月零5天),但因纳入研究的协变量而异。结核病类型(P<0.001)、家庭规模(P=0.035)、合并发病率(P=0.045)和体重(P=0.044)基线时差异均有统计学意义。结论:结核病类型、家庭规模、合并症和基线体重对恢复时间有统计学意义。在结核病治疗(联合治疗)的选择阶段应考虑重要的变量。
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Modeling Time to Recovery of Adult Tuberculosis (Tb) Patients in MizanTepi University Teaching Hospital, South-West Ethiopia
Background: Tuberculosis (TB) is a chronic infectious disease that has a major health problem over the centuries and it has accounted for more human misery suffering and loss of earning and failure of economic and social development than any other disease. The aim of the study was to assess the effect of prognostic factors associated with time to recovery of adult TB patients who were under treatment follow-up of Mizan-Tepi University Teaching Hospital. Study Design: A retrospective cohort study. Methods: The data was obtained from medical records of TB patients registered during September 2011 to August 2016 and treated under the DOTS program. Kaplan-Meier and Cox proportional hazards model were applied. Backward selection procedure was used in variable selection. Results: In this study, 75% were recovered, 4.4% died, 9.7% defaulted, and 4.9% failure, while 6% transferred out rate. The median recovery time of the patients was 185 days (6 months and 5 days) but it varies depending on the covariates included in the study. TB Type (P<0.001), family size (P=0.035), Co-morbidity (P=0.045) and bodyweight (P=0.044) at baseline had a statistically significant. Conclusion: The effects of TB type, family size, co-morbidity and bodyweight at baseline had a statistically significant impact on time-to-recovery. The variables that are significant should be considered during the selection phase a treatment (combination of treatments) for TB.
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