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城市和农村的不平等在IV血栓溶解急性缺血性中风:一个全国性的研究
Sine Mette Øgendahl Buus1, Anne Brink Behrndtz1, Marie Louise Schmitz1
1Department of Neurology, Aarhus University Hospital, Aarhus N, Denmark.
European stroke journal
|April 11, 2024
概括
在丹麦,急性缺血性中风再注射治疗中的城乡差异很小. 然而,农村居民面临更长的医院前延误,并且更频繁地被录取到无再输血能力的医院,这突出了潜在的治疗障碍.
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:
- 在全球范围内,农村居住与急性缺血性中风的再输治疗减少有关.
- 了解中风护理中的城乡差异至关重要,尤其是在全民医疗保健系统中.
研究的目的:
- 调查丹麦急性缺血性中风的静脉血栓溶解率的城乡差异.
- 鉴定基于住院的再注射治疗的潜在障碍.
主要方法:
- 来自丹麦中风注册局的成年缺血性中风患者 (2015-2020) 全国队列研究.
- 住所农村定义的暴露;数据通过民事登记号链接.
- 调整后的治疗速率是使用治疗权重的逆概率计算的.
主要成果:
- 大城市居民 (中位数7.1小时) 与首都居民 (中位数4.7小时) 的预住院延迟时间最长.
- 与非农村居民 (18.5%-18.7%) 相比,农村居民的静脉血栓溶解率略低 (17.2%).
- 经过调整后,农村居民的治疗率 (18.5%) 与首都和大城市居民相比较.
结论:
- 丹麦的IV血栓溶解率在城市和农村之间差异很小.
- 在医院前延误和住院模式方面存在显著的城乡差异.
- 这些差异表明,农村中风患者及时进行再输血治疗的潜在障碍.
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