不同年龄段的肢体救援工作的影响:重大截肢和小截肢之间的关系
Wenye Song1, Javier La Fontaine2, Naohiro Shibuya3
1Graduate School of Biomedical Sciences, The University of Texas Medical Branch, Galveston, TX.
概括
肢体救援工作显示,下肢截肢数量增加,主要截肢数量减少. 中年糖尿病患者推动了这些趋势,突出显示了截肢类型的转变.
科学领域:
- 血管外科 血管外科
- 糖尿病人的足部护理
- 公共卫生政策 公共卫生政策
背景情况:
- 肢体救援策略旨在减少主要的下肢截肢.
- 糖尿病患者的非创伤性下肢截肢 (NLEA) 率在2000年代初下降,然后在2010年代上升.
- 肢体救援对重大截肢率和医疗保健成本的影响尚不清楚.
研究的目的:
- 分析主要与小的下肢截肢的趋势.
- 为了调查德克萨斯州各年龄组NLEA率的差异.
- 评估随着时间的推移,大截肢比例的变化.
主要方法:
- 使用的德克萨斯州医院出院数据 (2006-2015).
- 从德克萨斯州人口估计计划和美国人口普查局分析了人口估计.
- 雇用Poisson回归和Joinpoint分析用于趋势评估.
主要成果:
- 总体而言,从2009年至2015年,所有截肢和轻微截肢的NLEA率都增加了.
- 大型截肢的相对患病率在2010年后显著下降.
- 患有糖尿病的45-64岁患者似乎是截肢率增加的主要驱动因素.
结论:
- 下肢截肢率正在上升,特别是在中年糖尿病患者中.
- 肢体救援工作可能正在将平衡转向轻微的截肢.
- 需要进一步的研究来了解长期结果和成本效益.
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