人口变化与内血管血栓切除术数量之间的关联
Yushiro Take1,2, Manabu Osakabe2, Mai Okawara2
1Department of Cerebrovascular Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
Surgical neurology international
|July 5, 2023
概括
对中风的机械血栓切除术 (MT) 与人口变化有关. 老年人口的增加与MT程序的增加相关,而人口显著下降可能会减少它们,影响资源分配.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 机械血栓切除术 (MT) 是有效的急性缺血性中风.
- 关于MT量与人口动态之间的关系的研究有限.
- 了解这种关联对于优化医疗资源分配至关重要.
研究的目的:
- 调查人口变化与执行机械血栓切除术的数量之间的相关性.
- 为中风干预服务的战略规划提供信息.
主要方法:
- 对162名接受MT治疗的大血管封闭症患者的回顾性分析.
- 在2015-2016年和2017-2019年期间,在五个地区,每10万人/年的MT率的比较.
- 简单的线性回归来评估人口转移和MT体积之间的关联.
主要成果:
- 总体MT量从每10万人/年的15.1个程序增加到19个程序.
- 在托亚湖和索贝茨/托约拉地区观察到MT显著下降.
- 在人口减少率和MT量之间发现了负相关性.
- 在65岁以上的个体比例和MT量之间发现了正相关性.
结论:
- 人口减少>8%或65岁以上人口增加<4%的地区可能会看到MT需求下降.
- 持续建立MT系统至关重要,即使在人口减少或老龄化地区.
- 数据支持根据人口趋势为机械血栓切除术量身定制的资源配置.
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