肝硬化诊断前后受伤风险:基于人口的队列研究
Ying Shang1, Qing Shen2,3, Elliot B Tapper4
1Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.
Hepatology communications
|October 11, 2023
概括
伤害的风险在肝硬化诊断的时间左右显著增加. 这凸显了对伤害预防策略的需要,特别是在非补偿性肝硬化患者中.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 伤害流行病学 伤害流行病学
背景情况:
- 肝硬化往往没有症状,直到去补偿.
- 在预减偿性肝硬化中,认知障碍和肉可能会增加受伤风险.
- 了解诊断的受伤风险对于患者安全至关重要.
研究的目的:
- 估计肝硬化诊断之前和之后的伤害发生率.
- 在诊断窗口期间比较伤害率与诊断前基线.
- 为了确定特定的患者群体在肝硬化诊断周围受伤的风险较高.
主要方法:
- 使用瑞典国家患者登记册数据 (1997-2019) 采用了自我控制的病例系列设计.
- 分析了59,329名被诊断为肝硬化病的患者.
- 在诊断期 (3个月前/诊断后) 和诊断前期 (6个月,前3年) 之间比较了伤害的发病率.
主要成果:
- 与诊断前期相比,在诊断期间 (IR比率8.1) 观察到损伤发生率大幅增加.
- 在诊断期间发生了3610起伤害,而在诊断前期间发生了975起伤害.
- 对于补偿性肝硬化,损伤风险在诊断前就达到顶峰;对于不补偿性肝硬化,它在诊断后不久达到顶峰.
结论:
- 肝硬化诊断经常与受伤事件有关.
- 在肝硬化诊断前不久和之后,受伤发生率显著增加.
- 针对性伤害预防策略是肝硬化后诊断至关重要的,特别是在无补偿病例中.
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