老年患者在门诊心脏康复中参与的因素:一项基于人口的研究,使用来自日本两个城市的索赔数据
Jun Komiyama1, Masao Iwagami2,3, Takahiro Mori3,4
1Graduate school of Comprehensive Human Sciences, University of Tsukuba.
Annals of clinical epidemiology
|March 20, 2024
概括
老年人心脏手术后参加门诊心脏康复的比例仍然很低,为9.0%. 男人,急性心肌梗塞患者和先前住院心脏康复患者更有可能参与.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 门诊心脏康复是有效的,但在老年心脏病患者中未得到充分利用.
- 现实世界参与率和影响这一人口结构的因素尚不清楚.
研究的目的:
- 确定老年患者心脏干预后门诊心脏康复参与率.
- 确定与参与这一患者群体相关的因素.
主要方法:
- 分析了两个日本市政府 (2012-2019) 的保险索赔数据.
- 包括65岁以上患有特定心脏病 (急性心肌梗塞,胸痛,心脏膜疾病) 的患者.
- 后勤回归用于识别与门诊心脏康复参与相关的因素.
主要成果:
- 在690名患者中,整体参与率为9.0%.
- 与更高参与率相关的因素包括男性,患有急性心肌梗塞和先前住院心脏康复.
- 大量的心脏康复医院也与参与率的增加有关.
结论:
- 在老年术后心脏病患者中,门诊心脏康复的参与率低于最佳水平.
- 需要进一步的研究来评估可通用性,并探索有针对性的干预措施,以提高参与率.
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