缺血性中风患者的特征,绩效指标,治疗趋势和结果的年龄相关差异
Gregg C Fonarow1, Mathew J Reeves, Xin Zhao
1Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, 10833 LeConte Ave, Room 47-123 CHS, Los Angeles, CA 90095-1679, USA. gfonarow@mednet.ucla.edu
Circulation
|February 10, 2010
概括
老年缺血性中风患者具有不同的特征和更高的死亡率. 然而,随着时间的推移,治疗的改进缩小了与年龄相关的差距,使所有年龄组受益.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 之前的研究表明,在老年中风患者中,治疗的使用率低于最佳,结果更差.
- 这项研究调查了急性缺血性中风护理和结果中的与年龄相关的差异.
研究的目的:
- 检查急性缺血性中风患者特征的年龄相关差异.
- 分析绩效指标和时间趋势的基于年龄的变化.
- 评估缺血性中风后不同年龄组的早期临床结果.
主要方法:
- 分析了2003-2009年间502,036例缺血性中风患者的入院情况,使用了Get With the Guidelines-Stroke计划.
- 根据年龄组对数据进行分层,并分析年龄作为连续变量.
- 评估七个绩效指标和两个总结指标,以及医院内结果.
主要成果:
- 老年患者更有可能患上诸如心房动和高血压等并发症.
- 从2003年至2009年,在所有年龄组中,在绩效指标中观察到显著的时间改善.
- 随着年龄的每十年增长,患者在家出院的可能性较小,在医院死亡的可能性更大.
结论:
- 较老的缺血性中风患者具有明显的临床特征,面临更高的住院死亡率.
- 在所有年龄组中,基于绩效指标的治疗率随着时间的推移显著改善.
- 这些改进导致中风护理中的年龄相关差异减少.
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