医生估计和患者报告的健康状况在心房
Nobuhiro Ikemura1,2, Shun Kohsaka1, Takehiro Kimura1
1Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
JAMA network open
|February 23, 2024
概括
医生经常低估心房 (AF) 患者的健康状况,导致治疗较少和恢复较慢. 准确的评估对于优化AF患者护理和改善生活质量至关重要.
科学领域:
- 心脏病学 心脏病学
- 患者研究成果研究结果
背景情况:
- 优化患者的健康状况是管理心房动 (AF) 的关键目标.
- 准确的医生评估AF对患者生活的影响对于有效管理至关重要.
研究的目的:
- 调查医生对AF患者健康状况的估计.
- 确定医生和患者在健康状况评估中的一致性以及随后的患者护理和结果之间的关联.
主要方法:
- 一项前性队列研究,涉及日本东京的AF患者及其治疗医生.
- 患者填写了心房对生活质量影响 (AFEQT) 调查问卷.
- 医生的评估与患者报告的AFEQT得分进行了比较,以评估健康状况的低估或高估.
主要成果:
- 医生高估了53.3%的患者的健康状况,正确估计了33.9%,低估了12.7%.
- 低估健康状况与较少的治疗升级 (aOR,0.43) 和1年后AFEQT得分的较小改善有关.
- 低估了健康状况的患者,与正确估计或高估患者相比,生活质量得分的改善明显较小.
结论:
- 医生低估了AF患者的健康状况是普遍存在的.
- 这种低估是独立相关的较少的侵略性治疗和较差的健康状况改善超过一年.
- 提高医生评估患者报告结果的准确性对于改善AF管理和患者福祉至关重要.
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