最近因心血管疾病住院的患者中的饮食咨询文档
Eric J Brandt1, Matthias Kirch2, John Z Ayanian3
1Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan.
Journal of the Academy of Nutrition and Dietetics
|March 10, 2024
概括
心血管疾病 (CVD) 后住院治疗不常见,仅发生在22.8%的病例中. 根据患者因素和心血管疾病类型,记录率有很大差异,突出显示了营养护理方面的差异.
科学领域:
- 心血管医学 心血管医学
- 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:
- 饮食干预对于控制心血管疾病至关重要.
- 有效的心血管疾病管理依赖于全面的患者护理,包括营养指导.
- 评估饮食咨询在住院后护理途径中的整合至关重要.
研究的目的:
- 量化心血管疾病 (CVD) 住院患者的记录饮食咨询的频率.
- 识别与饮食咨询文件相关的患者和医院相关因素.
- 评估不同类型的心血管疾病事件和保险计划中饮食咨询文档的变化.
主要方法:
- 使用密歇根价值协作多重付款索赔注册表 (2015年10月 - 2020年2月) 的观察性研究.
- 纳入标准包括因特定心血管疾病事件住院的患者:冠状动脉旁路移植,急性心肌梗塞,充血性心力衰竭和穿皮冠状动脉干预.
- 用国际疾病分类第十版或当前程序术语代码在住院后90天内确定了饮食咨询文档.
主要成果:
- 在175,631例心血管疾病病例中的22.8%记录了饮食咨询.
- 老年患者 (>65岁),女性和慢性病或糖尿病患者的记录率较低.
- 在肥胖患者和在非大都市医院接受治疗的患者中观察到更高的记录率.
结论:
- 在心血管疾病 (CVD) 住院后的医疗索赔中,饮食咨询的记录不足.
- 根据心血管疾病事件类型,患者人口统计,并发病症和医院特征,文献存在显著差异.
- 这些发现强调需要在心血管疾病后的护理途径中更好地系统地整合营养支持.
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