在德克萨斯西部农村地区拯救心脏:关键护理准入对死亡率的影响
Rami Al-Ayyubi1, Laura Gonzales-Reyes1, Andres Mata1
1Internal Medicine, Texas Tech University Health Sciences Center Permian Basin, Odessa, USA.
Cureus
|April 1, 2024
概括
西德克萨斯州的临界接入医院 (CAH) 显示心力衰竭 (HF) 死亡率较低. 这种指定改善了患者的结果,特别是在西班牙裔人口和不同年龄和性别群体中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生政策 农村卫生政策
- 心血管流行病学心血管流行病学
背景情况:
- 该项目成立于1997年,旨在加强农村医院的财务稳定性和医疗保健的准入.
- 在农村社区,CAH对于维持基本医疗保健服务至关重要,解决潜在的医疗保健差异.
研究的目的:
- 评估关键接入医院 (CAH) 指定对西德克萨斯州农村县心力衰竭 (HF) 患者死亡率的影响.
- 分析CAH指定地区高风暴人口中各种人口亚组之间的死亡率差异.
主要方法:
- 使用Flex监测小组 (2010-2020) 和CDC WONDER数据库的数据进行的回顾性观察研究.
- 包括通过ICD-10代码确定的心力衰竭 (HF) 诊断的成年患者 (≥25岁).
- 使用两个样本的t测试进行统计分析,以比较CAH和非CAH组之间的年龄调整死亡率 (AAMR) (p <0.05).
主要成果:
- 总共分析了1,348,001名患者,揭示了CAH农村县的统计学上显著较低的AAMR (p < 0.0001).
- 在CAH县的男性和女性中观察到较低的AAMR,在每个性别群体中发现了显著的差异.
- 西班牙裔人口在CAH指定地区的死亡率下降幅度最大 (p < 0.0001).
结论:
- 关键接入医院的指定与德克萨斯州西部农村地区心力衰竭患者的死亡率改善有关.
- 该CAH计划有效地有助于减少不同人口群体,包括性别和种族的死亡率差异.
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