西班牙感染性内心炎流行病学和结果的区域差异. 一个当代基于人口的研究
Pablo Zulet1, Carmen Olmos2, Cristina Fernández-Pérez3
1Instituto Cardiovascular, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Revista espanola de cardiologia (English ed.)
|February 4, 2024
概括
传染性内心炎 (IE) 在西班牙各地区的发病率和结果各不相同. 高死亡率和低手术率凸显了区域网络改善患者护理的必要性.
科学领域:
- 心脏病学 心脏病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 传染性内心炎 (IE) 仍然是全球疾病和死亡的重要原因.
- 了解IE流行病学的区域差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 概述目前西班牙感染性内心炎 (IE) 的流行病情景.
- 为了评估IE发病率,患者特征和自治社区 (AC) 治疗结果的区域差异.
主要方法:
- 一个回顾性,基于人口的研究,利用来自西班牙国家卫生系统 (2016-2019) 的国家住院患者数据.
- 对IE9008次住院病例进行分析,对17个自治区 (AC) 的数据进行比较.
主要成果:
- 标准化IE发病率为每10万人口中的5.77,区域差异很大.
- 预易性疾病包括假体门 (26.8%),门心脏病 (36.8%) 和心脏器械 (10.6%).
- 整体住院死亡率为27.2%,在发病率,特征,手术率 (总体为19.3%,转诊中心为33.4%) 和死亡率方面存在显著的区域差异.
结论:
- 在西班牙各地区之间,IE发病率,临床表现和微生物特征存在显著的异质性.
- 手术干预率低,住院死亡率高,强调需要改进管理策略.
- 建立区域IE网络和转诊中心可以加强早期手术干预并改善患者的治疗结果.
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