在美国的各个医院分类中,分化血栓切除术的利用率不同
Karan Patel1, Ali G Hamedani2, Kamil Taneja3
1Cooper Medical School of Rowan University, Camden, NJ, USA.
概括
从2007年到2020年,急性缺血性中风中使用血栓切除术显著增加,这是由专门医院推动的. 这种增长超过了新的中风诊断,特别是在关键试验出版后.
科学领域:
- 神经学 神经学
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 血栓切除术已经成为急性缺血性中风的关键治疗方法.
- 了解影响其采用和利用的因素对于优化患者护理至关重要.
研究的目的:
- 确定与急性缺血性中风机械血栓切除术的采用相关的医院级特征.
- 分析随着时间的推移,血栓切除中心的指定和利用的趋势.
主要方法:
- 全国紧急情况部门样本 (2007-2020年) 的回顾性分析.
- 共同点分析,以确定血栓切除中心和手术的增长率的显著变化.
- 多变量后勤回归以确定与血栓切除能力和高容量状态相关的医院因素.
主要成果:
- 在2007年至2020年期间,观察到能够进行血栓切除术和高容量中心的显著增加.
- 能够进行血栓切除术的中心数量在2011年之后显著增加,在2013年和2016年之后,高容量中心的增长加速.
- 在2016年之后,进行的血栓切除术总数显著增加. 创伤一级和二级医院更有可能被归类为能够进行血栓切除术或高体积的医院.
结论:
- 针对急性缺血性中风的血栓切除术利用率在2007年至2020年之间显示出大幅增长.
- 这种利用率的增长超过了新的缺血性中风诊断率.
- 医院类型,特别是创伤中心,以及积极的血栓切除试验的发表显著影响了这一趋势.
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