由于心力衰竭而住院治疗之前的体重变化模式
Sarwat I Chaudhry1, Yongfei Wang, John Concato
1Department of Internal Medicine, Section of General Medicine, Yale School of Medicine, New Haven, CT 06520, USA. sarwat.chaudhry@yale.edu
Circulation
|September 12, 2007
概括
由于心力衰竭而入院前的体重增加至少在入院前一周开始. 监测心力衰竭患者的每日体重可以识别干预的高风险时期.
科学领域:
- 心脏病学 心脏病学
- 医疗监测 医疗监测
- 公共卫生 公共卫生
背景情况:
- 体重增加是疾病管理中心力衰竭脱补偿的公认标志物.
- 关于心力衰竭患者体重变化与住院风险之间的确切关系的数据有限.
研究的目的:
- 量化身体体重变化与心力衰竭患者即将住院的风险之间的关联.
- 为了确定体重增加和心力衰竭住院治疗之间的时间关系.
主要方法:
- 一项嵌套病例控制研究使用来自家庭监控系统的数据进行.
- 134名因心力衰竭住院的病例患者与134名对照患者进行了匹配.
- 分析的重点是重量变化与监测系统的入学相比.
主要成果:
- 病例患者的体重逐渐增加,从住院前大约30天开始 (P<0.001).
- 体重增加>2-5磅,>5-10磅和>10磅与住院几率显著增加有关 (ORs 2.77,4.46,7.65).
- 在住院治疗前一周,体重模式有显著差异.
结论:
- 体重增加与心力衰竭住院病例有关,至少在一周前开始.
- 每日体重监测可以识别高风险时期进行主动干预,以预防需要住院治疗的脱偿性心力衰竭.
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