创伤后应激障碍和种族在中风后再入院的关联
Chen Lin1,2, Peter H King1,2, Joshua S Richman3,2
1Departments of Neurology (C.L., P.H.K.), University of Alabama at Birmingham.
Stroke
|March 14, 2024
概括
创伤后应激障碍 (PTSD) 增加了非裔美国退伍军人的中风再入院风险,但不是白人退伍军人. 这凸显了有针对性的干预措施的必要性,以减少高风险人群的住院再接收.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于创伤后应激障碍 (PTSD) 患者中风后果的研究有限,特别是关于种族差异的研究.
- 调查PTSD和中风再入院风险之间的联系对于了解患者的结果至关重要.
研究的目的:
- 为了确定PTSD是否与中风后再入院的风险增加有关.
- 检查PTSD和中风再入院之间的关系中的潜在种族差异.
主要方法:
- 使用退伍军人卫生管理局数据对93,651名住院中风诊断的退伍军人进行了回顾性队列研究.
- 使用国际疾病分类代码识别创伤后应激障碍 (PTSD) 和并发性疾病.
- 根据患者特征和时间变化的共变量进行调整的Cox回归分析,用于评估PTSD和中风再入院之间的关联.
主要成果:
- 在93,651名患者中,13.8%患有并发性PTSD,18.0%被诊断为中风,重新入院.
- 在非裔美国退伍军人和PTSD之间发现了关于再接收风险的显著相互作用 (HR=1.09).
- 创伤后应激障碍与非裔美国退伍军人 (HR=1.10) 的再入院风险显著增加,但与白人退伍军人 (HR=1.05) 的再入院风险不相关.
结论:
- 先前存在的PTSD与非裔美国退伍军人中中风再入院的风险更高有关,这种差异在白人退伍军人中没有观察到.
- 这些发现强调了识别和支持高风险群体的重要性,例如患有PTSD的非裔美国退伍军人,以尽量减少中风后再入院.
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