冠状动脉心脏病和相关程序. 国家医院出院调查数据 调查数据
M Feinleib1, R J Havlik, R F Gillum
1National Center for Health Statistics, Centers for Disease Control, Hyattsville, Maryland 20782.
Circulation
|June 1, 1989
概括
从1984年到1986年,冠状动脉疾病诊断的出院人数增加了,不稳定的心痛和冠状动脉旁路移植和血管造形等手术程序显著增加.
科学领域:
- 心血管疾病流行病学
- 医疗服务研究 医疗服务研究
- 医疗手术趋势 医疗手术趋势
背景情况:
- 国家医院出院调查数据提供了关于心血管疾病 (CVD) 趋势的见解.
- 整体上,医院出院率有所下降,但冠状动脉疾病 (CAD) 相关的诊断有所增加.
- 了解这些趋势对于公共卫生和医疗保健资源分配至关重要.
研究的目的:
- 分析需要手术的心血管疾病医院出院的趋势.
- 检查特定诊断的变化,如不稳定的胸痛和急性心肌梗塞.
- 追踪手术干预的使用情况,如冠状动脉旁路移植 (CABG) 和冠状动脉血管塑造.
主要方法:
- 利用来自国家医院出院调查 (NHDS) 的横截面和趋势数据.
- 分析了1979年至1986年期间特定心血管诊断和手术的出院数据.
- 检查了人口统计学变化,例如老年人群中男性和女性的比例,以诊断心痛.
主要成果:
- 冠状动脉相关的诊断增加,特别是不稳定的心痛,而慢性缺血性心脏病减少.
- 冠状动脉旁路移植手术的出院人数翻了一番,冠状动脉血管造形手术的数量急剧增加.
- 急性心肌梗塞出院率保持稳定,但平均停留时间减少.
- 心律失常和心力衰竭是常见的并发症;年长的女性显示出更高的心痛排泄率.
结论:
- 住院趋势表明,冠状动脉心脏病的干预程序正在转向干预程序.
- 不稳定性心痛的增加需要进一步调查潜在的原因,包括诊断实践.
- 持续监测CAD排放趋势和程序利用对于医疗保健规划至关重要.
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