周末心房动住院与较高的短期死亡率有关
Marco Zuin1,2, Gianluca Rigatelli3, Claudio Bilato1
1Department of Cardiology, West Vicenza Hospital, Arzignano, Italy.
Acta cardiologica
|June 20, 2023
概括
周末因心房 (AF) 住院的患者面临着显著更高的过早死亡风险. 这一系统性审查和元分析证实,周末入院的风险增加了58%.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 之前对周末因心房动 (AF) 和早逝而入院的研究已经产生了不一致的结果.
- 进行了系统性审查和元分析,以澄清周末入院和AF患者短期死亡率之间的关联.
研究的目的:
- 估计诊断为心房动 (AF) 的患者周末 (WE) 住院和短期死亡率之间的关联.
- 综合现有队列研究的数据,以提供关于WE入院对AF患者结果的影响的更明确的结论.
主要方法:
- 通过使用MEDLINE和Scopus数据库进行了系统的文献搜索,直到2022年11月15日.
- 来自五项回顾性队列研究的数据,包括超过500万名AF患者,使用随机效应模型进行了聚合.
- 包括报告医院住院或30天死亡率调整赔率 (OR) 的研究,将WE入院与周日 (WD) 入院进行比较.
主要成果:
- 分析包括5,164,986名心房的患者 (平均年龄69.7岁,男性47.6%).
- 周末入院与30天或住院死亡的风险明显增加有关 (调整后OR:1.57;95%CI,1.05-1.27;p=0.003).
- 超回归表明,在包括的研究中,死亡风险与患者的平均年龄之间存在相关性.
结论:
- 周末因心房而入院的患者经历过早期死亡风险的大幅增加.
- 这些发现突出了与周末入院的AF相关的护理或患者敏度的潜在差异,需要进一步调查.
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