战争对STEMI发病率的影响:来自密集心血管护理病房入院的见解
Ranel Loutati1, Sharon Bruoha2, Louay Taha1
1Jesselson Integrated Heart Center, The Eisenberg R&D Authority, Shaare Zedek Medical Center, The Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9112002, Israel.
Journal of clinical medicine
|April 9, 2024
概括
以色列-哈马斯战争导致阿拉伯患者减少,更多的ST段升高心肌梗塞 (STEMI) 病例被送往心血管重症监护室 (ICCU). 在战争和战前时期,住院死亡率保持相似.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 战争研究 战争研究
背景情况:
- 武装冲突对公共卫生产生重大影响,心理压力是已知的心血管疾病 (CVD) 风险因素.
- 有限的当代数据存在于战争对心血管疾病的影响,特别是急性冠状动脉综合征 (ACS).
- 这项研究评估了战争对ICCU入院和患者预后的影响.
研究的目的:
- 评估以色列 - 哈马斯战争对患者入院密集心血管护理病房 (ICCU) 的影响.
- 为了比较战争期间和战前期间入院的患者的特征和住院死亡率.
- 了解对不同类型急性冠状动脉综合征 (ACS) 的具体影响.
主要方法:
- 在以色列 - 哈马斯战争 (2023) 的前三个月和2022年同期期间入院的ICCU患者的回顾性比较.
- 主要结局:住院死亡率.
- 对患者人口统计,入院诊断 (STEMI与NSTEMI) 和死亡率的分析.
主要成果:
- 总共分析了556名患者,53%的患者在战争期间被录取.
- 在战争期间,阿拉伯患者少,ST段升高心肌梗塞 (STEMI) 患者更多.
- 在战前一年,非STEMI入院的频率更高,而在医院的死亡率在各组之间相似 (4.4%对3.4%).
结论:
- 战争的初始阶段改变了ICCU的患者人口统计,阿拉伯患者减少,STEMI病例增加.
- 尽管人口结构发生了变化,但战争并没有显著影响住院心血管病患者的住院死亡率.
- 研究结果强调,需要继续研究武装冲突对心血管的影响.
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