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较弱的握力预测心力衰竭患者的非计划医疗保健利用率更高
Louisa Camille Poco1, Eric Finkelstein1,2, David Sim3
1Lien Centre for Palliative Care, Duke-NUS Medical School, 8 College Rd, Singapore, 169857.
ESC heart failure
|November 22, 2023
概括
手握强度 (GS) 是心力衰竭患者的简单脆弱度量. 弱的GS预测了更高的意外事件,更长的住院时间,以及医疗保健成本的增加,支持其临床使用.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 患者的虚弱与医疗保健使用和成本的增加有关.
- 在临床环境中评估脆弱性是一项挑战.
- 手握强度 (GS) 是一个潜在的,简单的脆弱性指标.
研究的目的:
- 检查基线和纵向手握强度 (GS) 测量与高级心力衰竭患者的医疗保健利用率和成本之间的关联.
- 确定GS是否可以作为查工具来识别高风险HF患者.
主要方法:
- 在新加坡对251名晚期HF患者 (NYHA类III/IV) 的前性队列研究.
- 在基线和每4个月进行一次测量,持续2年.
- 弱GS定义为低于年龄和性别特定规范值的第五百分位.
- 用于评估与2年内医疗保健利用的关联 (意外事件,计划事件,总成本,住院时间) 的回归模型.
主要成果:
- 22.5%的患者在基线时具有弱的GS.
- 基线和纵向GS都与更长的住院时间,意外事件的可能性增加和成本增加有显著的关联.
- 疲软的GS与计划外事件增加8%,长达4天的逗留时间以及4个月的SG$4792高的计划外费用有关.
结论:
- 手握强度 (GS) 是一种简单有效的工具,用于识别和监测心力衰竭患者的不良结果风险.
- 这些发现支持GS在心力衰竭管理中的常规临床使用.
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