心血管住院和资源使用 随着心房移除心房移除
Mehak Dhande1, Amr Barakat1, Ann Canterbury1
1Center for Atrial Fibrillation University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center Heart and Vascular Institute Pittsburgh PA.
Journal of the American Heart Association
|September 8, 2023
概括
心房动 (AF) 除显著减少住院和医疗保健资源的使用. 这项研究显示 AF 相关的住院次数和切除术后的急诊次数减少,这表明潜在的成本节约.
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
- 医学经济学 医学经济学
背景情况:
- 前庭动 (AF) 显著增加了患病率和医疗费用.
- 升的AF患病率需要评估治疗对医疗保健资源利用的影响.
- 关节切除是关键的治疗方式,需要对其经济和临床结果进行评估.
研究的目的:
- 评估心房 (AF) 除对住院率,住院时间和整体资源使用的影响.
- 在一个多医院系统中,比较在经过AF切除前后患者的医疗保健资源利用率.
主要方法:
- 对3417名接受AF切除术的患者的观察分析.
- 医院住院 (总体,心血管,AF),急诊室的访问,并在12个月前和24个月后的住院时间的比较.
- 评估电动心脏转换和抗不律性药物使用的前和后消化.
主要成果:
- 观察到总体,心血管和AF特异性住院病例的显著减少,每位患者每年经过切除后住院 (P<0.001).
- 在AF切除后,急诊室的访问显著下降 (P<0.001).
- 经过切除后,平均停留时间较短,抗心律失常疗法使用减少,电动心脏转变较少 (P<0.0001).
结论:
- 心房移除与住院病例和医疗保健资源利用率显著下降有关.
- 这些发现表明,AF切除可能会导致患者发病率降低和医疗保健支出降低.
- 关节前膜切除是治疗心房动的一种具有成本效益的策略.
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