和心血管不良事件的风险:全国范围的队列研究
Josephine Mayer1,2, Ameenathul M Fawzy1, Arnaud Bisson1,3
1Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool John Moores University, and Liverpool Heart and Chest Hospital, Liverpool, UK.
European journal of neurology
|January 2, 2024
概括
患有的人面临心血管事件和死亡的风险明显更高. 解决心血管健康问题对于降低这些风险和改善患者的治疗结果至关重要.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 与增加的发病率和死亡率有关.
- 了解中心血管并发症对于患者护理至关重要.
研究的目的:
- 评估患者心血管并发症 (PWE).
- 与对照组相比,评估PWE中血管事件的发生率.
主要方法:
- 追溯的横截面和纵向队列研究.
- 使用的法国医院国家数据库 (2014-2022).
- 匹配682,349个PWE与682,349个对照人群的年龄,性别和住院年龄.
主要成果:
- 在PWE中,心血管风险因素和不良事件的发生率更高.
- 显著增加所有原因死亡 (IRR=2.69),心血管死亡 (IRR=2.16),心力衰竭 (IRR=1.26),缺血性中风 (IRR=2.08),VT/VF (IRR=1.10) 和心脏骤停 (IRR=2.12) 的发病率.
- 调整后的分析显示,PWE患者的缺血性中风 (SHR=1.59) 和心脏骤停 (SHR=1.73) 风险更高,占所有死因.
结论:
- 心血管结局的流行率和发病率在患者中显著增加.
- 优先考虑心血管健康干预措施可以减轻PWE中的过度发病率和死亡率.
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