罗马尼亚的下肢截肢和外周再血管化率及其与并发症和血管护理的关系
Stefan Ionac1, Steven K Rogers2,3, Cosmina I Bondor4
1CerVasc, Vascular and Endovascular Surgery Research Center, Faculty of Medicine, Victor Babes University of Medicine and Pharmacy, Piata Eftimie Murgu 2, 300041 Timisoara, Romania.
Journal of clinical medicine
|January 11, 2024
概括
与西欧相比,罗马尼亚患者在年轻时面临截肢的风险更高,复血管化手术的发生率明显较低. 这突显了心血管疾病和糖尿病患者血管护理方面的关键差距.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 对罗马尼亚心血管或糖尿病并发症患者进行截肢或再血管化的回顾性分析.
- 数据来源于医院数据库 (2019年61家医院) 和国家保险记录 (2016-2021年).
研究的目的:
- 确定罗马尼亚的截肢和再血管化率.
- 为了将这些比例与西欧国家进行比较.
- 为了确定外围动脉疾病的外科手术干预趋势.
主要方法:
- 分析来自医院和国家数据库的患者级数据.
- 每10万居民的截肢和再血管化率的计算.
- 在六年时间内,对开放外科重血管化的趋势进行统计分析.
主要成果:
- 每年平均每10万居民的截肢和再血管化率为72.4.
- 开放式手术重血管化的非统计显著下降,从58.3%降至47.5%.
- 截肢患者的平均年龄为67岁,76.8%患有周围动脉疾病,60.8%患有糖尿病,53.5%患有高血压. 只有5.1%的人接受了先前的重血管化.
结论:
- 罗马尼亚患者可能面临比西欧更早5年截肢的更高风险.
- 罗马尼亚的重血管化患病率比西欧国家低64%.
- 这些发现表明,需要改善罗马尼亚的血管护理和干预措施.
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