在英国一群人中,电子健康记录对心房的广泛关联研究
Sheng-Chia Chung1, Amand F Schmit2, Gregory Y H Lip3,4
1Institute of Health Informatics, University College London, London, United Kingdom.
Frontiers in cardiovascular medicine
|October 16, 2023
概括
心房动 (AF) 与频繁的心脏和脑血管问题有关. 新的研究确定了与AF相关的10种新疾病,有助于风险分层和个性化护理.
科学领域:
- 心脏病学 心脏病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 前庭动 (AF) 由于住院和并发症,如中风和心力衰竭,造成了严重的医疗负担.
- 了解AF新发之前和之后的医疗保健利用模式对于管理患者需求至关重要.
研究的目的:
- 确定心房动患者使用医疗保健的最常见原因.
- 为了比较AF患者与匹配的对照人群的医疗互动.
- 发现与AF相关的新情况.
主要方法:
- 一项前性队列研究,利用560万英国患者 (1998-2016) 的电子健康记录.
- 在AF患者和年龄/性别匹配的对照人群之间对住院和初级保健咨询的前100个原因进行比较.
主要成果:
- 心脏,脑血管和外周血管疾病是最常见的AF前后诊断.
- 癌症和感染是重复访问的常见原因.
- 十种新的疾病,包括叶酸缺乏症和异常性血栓塞性紫外线,最近与AF有关.
结论:
- 全国数据增强了对AF患者临床需求的理解.
- 调查结果可以为高风险群体提供具有成本效益的查信息.
- 早期识别潜在并发症可以改善综合护理和治疗个性化.
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