心脏手术后再入院率的性别差异
Luca Koechlin1, Jules Miazza1, Brigitta Gahl1,2
1Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland.
Frontiers in cardiovascular medicine
|October 27, 2023
概括
心脏手术后的住院再接收率在男性和女性中是相似的. 这项研究发现,在主要心脏手术后的30天再入院原因中,没有基于性别的显著差异.
科学领域:
- 心血管外科心血管外科
- 医疗保健服务研究 医疗服务研究
- 医学中的性别差异.
背景情况:
- 在心脏手术后,性别对再入院率的影响仍然不完全理解.
- 调查性别差异对于优化术后护理和患者结果至关重要.
研究的目的:
- 分析大心脏手术后30天住院再接收率的性别差异.
- 确定导致任何观察到的基于性别的再接收变化的潜在因素.
主要方法:
- 一项单中心研究包括了2012年1月至2020年9月期间接受重大心脏手术 (不包括特定复杂病例) 的患者.
- 使用医疗记录来裁决再接收原因;女性与男性的发病率比率 (IRR) 计算.
- 负二项式回归用于原始和调整分析,控制潜在的混因素,如EuroSCORE 2.
主要成果:
- 该分析包括4,868名患者,女性占24%. 女性患者年龄较大,心血管风险因素比男性少.
- 30天再入院率在性别之间是可比的 (女性为7.0%,男性为8.7%,p=0.078).
- 在这两组中,与心脏相关的再入院和感染是再入院的最常见原因. 调整后的分析显示了强有力的发现,女性的IRR为0.78 (CI为0.61至1.0,p=0.051).
结论:
- 在男性和女性之间,重入院率和经过重大心脏手术后30天重入院的主要原因被发现是相似的.
- 这些发现表明,性别可能不是重大心脏手术后30天再入院的重要独立预测因素.
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