在风湿关节炎人口基队列中使用心血管预防服务
Daniel Montes1, Cassondra A Hulshizer2, Elena Myasoedova2,3
1Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
RMD open
|November 9, 2023
概括
类风湿性关节炎患者的心血管疾病 (CVD) 查率与一般人群相比较. 然而,那些患有RA唯一的风险因素的人接受糖尿病和高脂血症查较少,这表明需要改善护理.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 预防医学 预防医学
背景情况:
- 类风湿性关节炎 (RA) 与心血管疾病 (CVD) 的风险增加有关.
- 了解在RA患者中使用心血管疾病预防服务对于优化护理至关重要.
- 与非RA人群进行比较分析可以突出查实践中的差异.
研究的目的:
- 为了比较患有类风湿性关节炎 (RA) 的患者和匹配的非RA人群之间的心血管预防服务的利用率.
- 评估没有这些风险因素的RA患者的糖尿病 (DM),高血压和高脂血症的心血管疾病查率,与具有一个风险因素的非RA患者相比.
主要方法:
- 一项队列研究包括了成人RA患者,并匹配了来自明尼苏达州八个县的非RA比较者.
- 在使用Cox比例危险模型的组之间,对DM,高血压和高脂血症的查率进行了比较.
- 匹配标准包括性别,年龄和居住县.
主要成果:
- 与非RA患者相比,RA患者的糖尿病 (DM) 和高血压查率更高.
- 在RA患者和非RA患者之间,超脂血症查率相似.
- 没有传统心血管疾病风险因素的RA患者不太可能接受DM和超脂血的查,而不是一个风险因素的非RA患者.
结论:
- 心血管疾病 (CVD) 预防查的使用率与RA患者的一般人群相美.
- 有机会改善RA患者的心血管疾病风险因素查,特别是RA患者的唯一确定的风险因素.
- 针对RA患者的增强查方案可以更有效地减轻心血管疾病风险.
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