在商业保险美国的高级心力衰竭特征和结果. 大人的成年人
Anna Subramaniam1, Holly van Houten2, Margaret M Redfield1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
JACC. Heart failure
|August 17, 2023
概括
结果和高级心力衰竭 (HF) 治疗使用在美国成年人之间有很大的差异. 这项研究突出了晚期HF患者群体的年龄,性别和种族/种族差异.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 人口健康 人口健康
背景情况:
- 由于复杂的诊断标准,在晚期心力衰竭 (HF) 中定义特征和结果具有挑战性.
- 之前的研究一直在努力将先进的高频定义广泛应用于大量患者群体.
研究的目的:
- 将一个验证的高级HF算法应用于美国大型行政索赔数据库.
- 描述晚期HF患者的特征和他们使用先进的HF疗法.
主要方法:
- 利用OptumLabs数据仓库 (2009-2019) 来识别患有高级高频率的成年人.
- 应用了一种算法,在12个月内需要2次HF住院和1次额外的高级HF信号.
- 采用Cox比例危险模型来分析基线特征,死亡率和先进治疗使用之间的关联.
主要成果:
- 鉴定了60,197名患有晚期HF的患者 (平均年龄73岁,51.5%男性,64.3%非西班牙裔白人).
- 平均存活时间为2.0年,随着年龄,性别和种族/种族的不同,观察到死亡率和先进治疗使用的变化.
- 与白人患者相比,黑人患者的左心室辅助器件使用率较高,但心脏移植率较低.
结论:
- 在美国的高级心力衰竭患者群体中,结果和先进疗法的利用存在显著差异.
- 在不同年龄组,性别和种族/民族背景之间,在护理和生存方面的差异是显而易见的.
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