Hotspots dzine hukama nehutachiona hwehutachiona hwehutachiona hwakaonekwa muU.S

Hotspots dzine hukama nehutachiona hwehutachiona hwehutachiona hwakaonekwa muU.S
Hotspots dzine hukama nehutachiona hwehutachiona hwehutachiona hwakaonekwa muU.S
Anonim

Kare, vatsvakurudzi vakatsvaga kuona kugoverwa kwenzvimbo yemamiriro ezvinhu akawanda anotyisidzira hupenyu, kusanganisira sitiroko uye kusungwa kwemoyo. Ikozvino, vaongorori paPerelman Chikoro cheMishonga paYunivhesiti yePennsylvania vakagadzira mepu yekutanga yeUS inonongedza hotspots dzehutachiona uye dzakakomba sepsis dzine hukama-rufu - nemasumbu anozivikanwa ari kuMidwest, pakati peAtlantic, uye Maodzanyemba. Tsvagiridzo iyi idanho rekutanga rakakosha mukubatsira kuona kuti ndedzipi nzvimbo dzenyika dzinoda zviwanikwa zvakakosha zvehutano hweveruzhinji kurwisa zvirwere zvinouraya izvi.

Tsvakurudzo itsva ichaunzwa pamusangano wepagore weSosaiti yeAcademic Emergency Medicine muAtlanta, Ga.

"Rufu rwune chekuita nehutachiona ndicho chikonzero chikuru chekurwara uye kufa muUS, zvichibata vanhu vanopfuura miriyoni pagore, uye zvichidhura madhora bhiriyoni gumi pagore," akadaro munyori anotungamirira David Gaieski, MD, purofesa we Emergency Medicine paPenn. "Uye kunyange manzwisisiro atinoita zvikonzero zvehuwandu hwevanhu vanofa neutachiona hwave nani, tichiri kunetseka kudzivirira zvirwere izvi uye kuona vanhu vanonyanya kukurumidza. kuti tienderere mberi nekudzidza kuti sei uye sei zvirwere izvi zviri kuitika munzvimbo idzi uye nzira dzakanakisa dzekudzivirira ndufu idzi."

Sepsis ndiyo yechigumi inotungamira kukonzera rufu muUnited States. Nezviitiko zvinofungidzirwa 750, 000 pagore uye nhamba yekufa ingangoita makumi mana kubva muzana, sepsis yakakomba zvakare chimwe chezvikonzero zvinowanzoitika zvekufa muzvipatara zvekuchengetedza zvakakosha.

Kuti unzwisise zviri nani kuti ndedzipi nzvimbo dzenyika dziri panjodzi yekunyanya sepsis uye kumwe kufa kune hukama nehutachiona, timu yekutsvagisa yakaunganidza U.S. county death data kubva ku2010 Multiple Cause of Death data files (yakagadzirwa neNational Center for He alth Statistics) uye yakabatanidza ne 2010 Area Resource File demographic data kuitira maonero akazara ekusiyana kwenyika. Vanyori vanocherechedza kuti tsvakiridzo yapfuura yakangokwanisa kuona zvingangoitika padanho renyika.

Kufa kwakanangana nehutachiona kwakaonekwa pachishandiswa ICD-10 chikonzero chikuru chekufa makodhi ehutachiona uye yakanyanya sepsis. "Hotspots" dzakatsanangurwa sematunhu uko huwandu hwekufa kwehutachiona hwakakwira zvakanyanya kupfuura zvinoreva nyika nenzvimbo dzakatenderedza. Ongororo iyi yakaratidza hotspots ina: 1) matunhu maviri aive nekatatu nhamba yenyika yerufu dzine chekuita nehutachiona dziri mhiri kweMidwest uye pakati peAtlantic uye 2) matunhu maviri aive nekakana nhamba yekufa kwenyika kubva kune yakanyanya sepsis, iri munharaunda. Maodzanyemba nepakati peAtlantic.

Kuwedzera kune hotspots, timu yekutsvagisa yakaratidzawo cluster imwe "coolspot", nzvimbo yaive nerufu rwakaderera zvakakonzerwa nezvirwere izvi.Coolspot cluster yaisanganisira matunhu zana nemakumi mashanu nenomwe ari mhiri kwakadziva kumadokero neMakomo. Chikwata chekutsvagisa chinocherekedza kuti aya "coolspot" matunhu anogona kupa ruzivo rwakakosha zvakare, kusanganisira kutarisisa uye marapirwo angangove aripo munzvimbo idzi.

"Ongororo iyi inogona kubatsira kunanga kupindira kwenzvimbo yekuvandudza kuparadzirwa nekuita kwehumbowo-hwakatarisiro," akadaro munyori mukuru wezvidzidzo Brendan G. Carr, MD, MA, mubatsiri purofesa weEmergency Medicine, Surgery, & Epidemiology. pa Penn. "Kumwe kuongorora kunodiwa kujekesa kusiyana kwenzvimbo kwatakaona, asi isu tinotenda kuti chishandiso chitsva ichi chichava chishandiso chinobatsira kune vanoongorora uye nevakuru vehutano hweveruzhinji."

Vamwe vanyori vanobva kuPenn vanosanganisira Anish Agarwal, MD, MPH, Catherine S. Wolff, Douglas Wiebe, PhD, naMark E. Mikkelsen, MD.

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