为缺血性中风重新接收患者:危险因素和对死亡率的影响
Chuang Liu1,2, Li Luo2, Xiaozhou He2
1Chengdu Vocational & Technical College of Industry, Chengdu, Sichuan, China.
概括
患有缺血性中风的患者再入院增加了死亡风险. 识别先前入院和城市居住等风险因素,可以为有针对性的政策提供信息,以减少中风再入院和改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 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:
- 缺血性中风再接收会给医疗保健系统带来压力.
- 了解中国的再接收风险因素和死亡率的影响是有限的.
- 需要进行全面的人口研究.
研究的目的:
- 为了确定缺血性中风再入院的风险因素.
- 评估再接收对中国患者死亡率的影响.
- 为制定关于中风护理的政策制定提供信息.
主要方法:
- 对125,397例缺血性中风病例 (2015-2018) 的回顾性队列研究.
- 来自中国西部22个地区838家医院的数据.
- 加速失效时间 (AFT) 分享的脆弱性模型用于分析.
主要成果:
- 确定的风险因素:经常入院史,男性性别,员工保险,晚年,城市居住,低水平医院入院指数,扩展的LOS,并发症和中风亚型.
- 缺血性中风再入院使患者死亡率增加了16.4% (P < .001).
- 脑卒中再入院与更高的医院死亡风险有关.
结论:
- 已经确定了缺血性中风再入院的关键风险因素.
- 再入院显著提高了中风患者的死亡风险.
- 针对特定风险因素的有针对性的政策可以减少中风再入院和死亡率.
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