澳大利亚20多年来AAA维修的趋势
Lakmali Anthony1, Madeline Gillies2, David Goh1
1Department of Vascular Surgery, Northern Health, Epping, Victoria, Australia.
Vascular health and risk management
|March 4, 2024
概括
内血管AAA修复 (EVAR) 在2006年成为澳大利亚公共部门开放修复的首选方法. 这一趋势表明,在所有人口统计数据中,腹腔大动脉动脉瘤 (AAA) 持续向EVAR转变.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 内血管技术已经改变了腹腔大动脉动脉瘤 (AAA) 治疗.
- 在全球范围内,从开放的AAA修复 (OAR) 到内血管AAA修复 (EVAR) 发生了显著的转变.
- 之前的澳大利亚研究只关注私人医疗保健部门,需要对公共部门趋势进行分析.
研究的目的:
- 分析澳大利亚公共卫生保健系统内AAA修复方法的趋势.
- 在二十年的时间内,评估从OAR到EVAR的过渡.
主要方法:
- 利用来自澳大利亚卫生与福利研究所 (AIHW) 程序数据立方体 (2000-2021) 的数据.
- 从国家医院数据收集中提取了AAA维修数据.
- 使用澳大利亚统计局数据计算每10万人口的维修发生率.
主要成果:
- 在2000年至2021年期间,公共部门共进行了65529次AAA维修.
- 内血管AAA修复 (EVAR) 占手术的64.4%,而开放AAA修复 (OAR) 占35.6%.
- 2006年,EVAR超越OAR成为主要的修复方法,这一趋势在性别和年龄组中一致.
结论:
- 在澳大利亚的公共部门中,从OAR到EVAR的稳定和一致的过渡被观察到.
- 澳大利亚比许多其他国家更早地采用EVAR作为首选的AAA维修方法.
- 需要进一步的研究来评估新的支架移植的长期结果,以验证这种治疗趋势.
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