美国人口中的死亡率和结性脊柱炎:主要原因和相关因素
Mohamad Bittar1, Simonne S Nouer2, Elizabeth A Tolley2
1Division of Connective Tissue Disease (Rheumatology), The University of Tennessee Health Science Center, Memphis, TN, USA. bittarmohamad1989@gmail.com.
Clinical rheumatology
|September 21, 2023
概括
化脊柱炎 (AS) 患者的死亡率与心血管和脏问题有关. 加强药物滥用预防对这群人来说至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 化脊柱炎 (AS) 是一种慢性炎症性轴骨疾病.
- 建议AS患者的死亡风险增加与疾病活性和持续时间相关.
- 了解住院AS患者的死亡原因对于改善患者的治疗结果至关重要.
研究的目的:
- 确定美国住院AS患者的主要死亡原因.
- 确定与这些患者死亡率相关的因素.
- 为减少AS死亡率提供有针对性的干预措施的信息.
主要方法:
- 一项病例控制研究使用了Cerner健康事实®数据库 (2015-2017年).
- 病例是住院的AS患者死亡;对照组是幸存者.
- 数据包括人口统计,并发症,全身表现和住院药物使用 (NSAIDs).
主要成果:
- 导致死亡的主要原因包括心血管,传染病,呼吸系统和创伤事件.
- 埃利克沙瑟并发症指数与死亡率有很强的关联 (p < 0.0001),特别是充血性心力衰竭和脏疾病.
- 药物使用障碍与死亡率有显著的关联 (调整后OR=10.9;p=0.001),而住院的NSAID使用则没有.
结论:
- 心血管和脏并发症是与AS患者死亡率相关的关键因素.
- 建议对心血管和脏疾病进行早期查和管理,以减少死亡风险.
- 加强预防药物和阿片类药物滥用策略对于AS群体至关重要.
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