精神障碍对非计划性心力衰竭患者再入院的影响:一项人口水平研究
Zhisheng Sa1,2, Tim Badgery-Parker1, Janet C Long1
1Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Sydney, NSW, Australia.
ESC heart failure
|January 17, 2024
概括
患有精神疾病诊断的充血性心力衰竭 (CHF) 患者面临28天计划外再入院的风险更高. 将心理健康护理纳入出院计划可能有助于减少这些再入院.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床医学 临床医学
- 精神病学是一个精神病学.
背景情况:
- 患有充血性心力衰竭 (CHF) 的可预防性住院是全球卫生挑战.
- 同时出现精神障碍的CHF患者往往经历较差的健康结果.
- 精神疾病对CHF患者再入院的影响需要进一步调查.
研究的目的:
- 为了检查精神障碍对28天不规划的住院再住院在充血性心力衰竭患者的影响.
- 确定患有再入院风险最高的患者子组.
主要方法:
- 用澳大利亚新南威尔士州 (2014-2020) 的相关住院和死亡数据进行回顾性队列研究.
- 分析包括年龄在18岁以上的成年人,他们的CHF入院指数.
- 进行了竞争性风险和因果特异性风险分析,以评估精神障碍诊断对所有原因再录取的影响.
主要成果:
- 在12个月内被诊断患有精神障碍的CHF患者的28天无计划再入院风险明显更高 (HR:1.21).
- 焦虑障碍 (HR: 1.49) 和晚年 (≥85岁) 与重新入院风险增加有关.
- 患有心血管衰竭,精神障碍,≥3种并发症和中级虚弱的患者的再入院概率最高 (29.84%).
结论:
- 在CHF患者中,精神障碍诊断与28天的意外再入院增加有关.
- 同时出现虚弱和精神障碍的CHF患者代表重新入院的高风险群体.
- 将心理健康护理服务纳入CHF出院计划可能会减少计划外的再接收.
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