心脏衰竭患者长期住院的预后因素
Eglė Ignatavičiūtė1, Diana Žaliaduonytė2,3,4, Vytautas Zabiela2,3,4,5
1Medical Faculty, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Medicina (Kaunas, Lithuania)
|May 27, 2023
概括
治疗中断,NT-proBNP升高和静脉压低显著预测心力衰竭患者的长期住院时间. 识别这些因素有助于管理心力衰竭 (HF) 停留时间.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 心力衰竭 (HF) 是一个重大的健康挑战,由于经常住院治疗,患病率不断上升,医疗费用高昂.
- 了解影响住院时间的因素对于优化患者管理和HF护理资源配置至关重要.
研究的目的:
- 确定和评估与心力衰竭住院患者长时间住院 (LOS) 相关的临床因素.
主要方法:
- 分析了2021年1月至5月期间入院考纳斯医院的220名心力衰竭患者的队列.
- 根据LOS,患者被分为两组:1-8天和9天或更长时间.
- 使用多变量后勤回归来确定长时间住院的独立预测因素.
主要成果:
- 逗留时间的中位数为8天.
- 确定了长时间住院治疗的五个独立预测因素:治疗中断,NT-proBNP水平升高,估计的淋巴膜过率 (eGFR) ≤50mL/min/1.73m2,静脉血压 (BP) ≤135mmHg,以及严重的三管吐.
- 治疗中断 (OR 3.694),较高的NT-proBNP (OR 3.352) 和较低的缩血压 (OR 3.100) 特别显著.
结论:
- 几种临床变量显著预测心力衰竭患者的长时间住院时间.
- 治疗中断,NT-proBNP升高和入院时低缩血压是影响住院时间的关键因素.
- 这些发现可以为临床实践提供信息,以潜在地减少逗留时间和改善患者的治疗结果.
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