死亡,长期安置在养老院,以及在经常性心肌梗塞后的贫困
Emily B Levitan1, Bharat Poudel1, Lei Huang1
1Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
概括
复发性心肌梗塞 (MI) 在老年人中显著增加死亡率和贫困风险. 预防重复心脏病发作可能会减少这些不良结果.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 复发性心肌梗塞 (MI) 给老年人带来了重大的健康挑战.
- 了解复发性心脏病的长期后果对于患者护理和资源配置至关重要.
研究的目的:
- 调查复发性心肌梗塞 (MI) 与增加死亡风险,长期养老院安置和贫困之间的关联.
- 为了比较老年人患有复发性心脏病的结局与初始心脏病的结局.
主要方法:
- 这是一项回顾性队列研究,利用了美国医疗保险计划的数据.
- 包括65岁以上的个人,患有复发性心脏病入院 (n=228,826) 和初始心脏病的对照 (n=915,304).
- 评估结果包括死亡,安置在养老院和贫困,截至2017年12月31日.
主要成果:
- 一年后,48%的复发性心脏病发作队列死亡,而对照组为16%.
- 患有复发性心脏病的人面临更高的死亡风险 (HR 2.04) 和贫困风险 (HR 1.32).
- 未经调整的分析显示,患有复发性心脏病的老人院安置风险较高,但经过调整后略有降低.
结论:
- 美国老年患有复发性心脏病的成年人,死亡率和贫困率的风险要高得多.
- 虽然未经调整的数据表明养老院安置的增加,但调整后的分析表明风险略低.
- 预防复发性心肌梗塞对于减少老年人群死亡率和贫困至关重要.
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