在中风后不维持定期医疗后续检查的预测因素
Mellanie V Springer1, Lesli E Skolarus2, Chunyang Feng2
1Stroke Program, University of Michigan Medical School, 1500 E. Medical Center Drive, Ann Arbor, Michigan, MI, 48109-5855, USA. mvsprin@med.umich.edu.
BMC neurology
|June 20, 2023
概括
大多数中风幸存者定期参加医疗预约. 然而,那些可能患有痴呆症或自我护理限制的人不太可能维持后续护理,突出了针对性干预的需要.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 对于中风幸存者来说,定期的医疗后续检查至关重要,以防止并发症和再住院.
- 影响中风后持续医疗随访的因素尚不清楚.
- 这项研究旨在确定中风幸存者之间不一致的医疗随访的患病率和预测因素.
研究的目的:
- 量化中风幸存者的患病率,没有定期进行医疗后续检查.
- 为了确定与中风幸存者没有随着时间的推移保持定期的医疗随访相关的预测因素.
主要方法:
- 这是一项回顾性队列研究,利用了国家健康和衰老趋势研究 (2011-2018) 的数据.
- 包括美国医疗保险受益人中风幸存者.
- 考克斯回归分析用于估计不定期进行医疗后续检查的预测因素.
主要成果:
- 在1330名中风幸存者中,11.3%的人没有定期进行医疗随访.
- 不保持随访的预测因素包括自我护理活动的较大限制 (HR 1.13) 和可能的痴呆症 (HR 2.23).
- 社交活动受到限制与维持随访相关 (HR 0.64).
结论:
- 大多数中风幸存者坚持定期的医疗后续计划.
- 干预措施应专注于可能患有痴呆症和严重自我护理限制的中风幸存者.
- 改善后续遵守的战略还应该考虑参与社会活动.
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