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在过去十年内植入心脏起器后,所有捷克患者的临床特征和死亡率
Miloš Táborský1, Tomáš Skála1, Ladislav Dušek2
1Department of Internal Medicine I-Cardiology, University Hospital Olomouc, Olomouc, Czech Republic.
Frontiers in cardiovascular medicine
|December 25, 2023
概括
捷克患者的心脏起器植入量每年增加,接受者的死亡率高于一般人群. 来自REPACE注册表的数据与国家健康记录密切匹配.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗器械注册表 医疗器械注册表
背景情况:
- 从国家卫生登记册和REPACE登记册对捷克心脏起器患者的死亡率数据的分析.
- 在国家队列中检查与心脏起器植入相关的趋势和结果.
研究的目的:
- 分析2010年至2021年期间接受心脏起器的捷克患者的死亡率模式.
- 为了比较REPACE注册表和国家健康记录之间的心脏起器植入数据.
主要方法:
- 在2010年至2021年间,检查了82,791名捷克患者的回顾性观察分析,这些患者接受了心脏起器植入.
- 利用REPACE注册表和国家报销医疗服务注册表的数据进行验证.
- 将心脏起器分为单腔,双腔和双心室设备.
主要成果:
- 几乎有114,000台心脏起器被植入,除了2020年的下降 (可能与COVID-19有关) 外,每年稳步增加.
- 观察到的5年相对存活率为88.6%,10年相对存活率为75.9%.
- 死亡原因因患者年龄而异;心脏起器接受者死亡率明显高于一般人群.
结论:
- 捷克共和国的心脏起器植入显示出一致的上升趋势.
- 与一般人群相比,带有心脏起器的患者死亡风险增加.
- REPACE注册表数据与国家卫生服务记录有很高的一致性.
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