国际阿斯匹林加重呼吸系统疾病患者的医疗ID使用情况

Mohammed Alqabasani, Andrea Lasso, Shaun Kilty
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摘要

背景:患者广泛使用医学识别(ID)来表明他们的食物和药物过敏,以及慢性疾病。推荐患者使用某种形式的医学ID的一种慢性疾病是阿司匹林加重呼吸系统疾病(AERD),这种疾病的特征是存在哮喘、慢性鼻窦炎伴鼻息肉和对阿司匹林和其他COX-1抑制剂(包括非甾体抗炎药(NSAIDs))敏感。在AERD中使用医疗ID的情况是未知的,并且尚未在该人群中进行广泛研究。方法:我们进行了一项横断面调查研究,以测量国际上AERD患者对使用医疗ID的需求及其使用的看法。结果:245名在线AERD支持小组成员完成了在线调查。大多数(80%,n = 198)参与者不使用任何形式的医疗ID。与会者报告说,对使用医疗身份证件的重要性缺乏了解和认识是不使用医疗身份证件的最常见原因。结论:这项国际调查发现,大多数AERD患者受访者没有使用医疗身份证。最常见的不使用的原因是不知道它是推荐给他们的条件和患者不认为它是必要的。研究结果强调了进一步对患者和卫生保健提供者进行教育的必要性。
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Medical ID use by international patients with Aspirin-Exacerbated Respiratory Disease.

Background: Patients widely use medical identification (ID) to indicate their food and drug allergies, and chronic medical conditions. One chronic condition for which patients are recommended to use a form of medical ID is Aspirin-Exacerbated Respiratory Disease (AERD), a disease characterized by the presence of asthma, chronic rhinosinusitis with nasal polyps and sensitivity to aspirin and other COX-1 inhibitors, including nonsteroidal anti-inflammatory drugs (NSAIDs). The uptake of medical ID use in AERD is unknown and has not been widely studied in this population.

Methods: We conducted a cross-sectional survey study to measure the perception of the need to use a medical ID and its use by patients with AERD internationally.

Results: 245 members of an online AERD support group completed an online survey. The majority (80%, n = 198) of the participants did not use any form of medical ID. The participants reported that the lack of knowledge and awareness about the importance of using a medical ID was the most common reason for not using it.

Conclusion: This international survey found that the majority of the AERD patient respondents did not use a medical ID. The most common reasons for nonuse were not knowing that it is recommended for their condition and that the patients did not consider it necessary. The results highlight the need for further patient and health care provider education.

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