诊断相关的组和通过导管的大动脉植入后的结果
Puja B Parikh1, Hal Skopicki1, Robert Pyo1
1Division of Cardiovascular Medicine, Department of Medicine, State University of New York at Stony Brook, Stony Brook, New York, USA.
The Journal of invasive cardiology
|November 20, 2023
概括
医疗保险严重性-诊断相关组 (DRG) 266与跨导管大动脉植入 (TAVI) 后1年死亡率较高有关. 然而,DRG 266和DRG 267之间的30天死亡率相似,表明结果不同.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保险严重性-诊断相关组 (DRG) 和跨导管大动脉植入 (TAVI) 后的结果之间的关联还不清楚.
- TAVI是严重的症状性大动脉狭窄症的关键手术.
研究的目的:
- 评估DRG 266和DRG 267之间的关系以及TAVI患者的30天和1年死亡率.
- 在每个DRG组中确定不同的死亡预测因素.
主要方法:
- 一项前性注册研究包括289名患有严重症状大动脉狭窄症的患者,接受TAVI治疗.
- 患者被分为DRG 266 (TAVI有重大并发症/并发症) 或DRG 267 (TAVI没有).
主要成果:
- 在DRG 266的患者中,住院时间更长,出院频率更高,他们被送往熟练护理机构.
- 医院住院和30天死亡率在DRG组之间是相似的.
- DRG 266与1年全因死亡率 (26.2%与8.8%) 的显著上升有关.
- 血清肌素预测了DRG 266中的死亡率,而心房动预测了DRG 267中的死亡率.
结论:
- 虽然早期结果相似,但DRG 266与TAVI后1年死亡率增加有关.
- 不同的患者因素预测每个DRG类别的死亡率,建议量身定制的管理策略.
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