患有心血管疾病和风险的个体因流体过载而早期重复住院:一项回顾性队列研究
Cynthia C Lim1, Dorothy Huang2, Zhihua Huang2,3
1Department of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore. cynthia.lim.c.w@singhealth.com.sg.
International urology and nephrology
|August 24, 2023
概括
在患有心血管和脏疾病的患者中,严重的液体过载住院是常见的. 识别先前住院和静脉注射furosemide使用等风险因素,可以帮助针对性干预措施,以防止早期重复住院的流体过载.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 流体过载是心血管和脏疾病的重要并发症,导致经常住院治疗.
- 识别患有重复严重液体过载高风险的患者对于有效管理和减少医疗保健负担至关重要.
研究的目的:
- 确定因流体过载而导致早期重复住院的发生率和风险因素.
- 为了确定患有心血管疾病和相关风险的个人,他们容易因流体过载而重新入院.
主要方法:
- 一项回顾性队列研究包括在2015年至2017年期间因流体过载而住院的3423名成年患者.
- 分析了患有心血管风险的患者,但不包括患有严重功能障碍 (eGFR <15毫升/分钟/1.73米2) 的患者.
- 主要结局是由于流体过载而在出院后30天内重新入院.
主要成果:
- 8.5%的患者因流体过载而在早期重复住院.
- 重新入院的风险因素包括心血管疾病 (OR 1.66),之前的液体过载住院 (OR 2.52),任何之前的住院 (OR 1.33) 和静脉注射furosemide使用 (OR 1.58).
- 更高的入院缩血压 (OR 0.992) 和在出院时使用利尿剂 (OR 0.50) 与重新入院的减少有关.
结论:
- 特定的风险因素可以识别出因流体过载而容易被提前再接收的患者.
- 基于这些已识别的风险因素的有针对性的干预措施可以帮助预防经常性住院.
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