生活必需品8和风湿性关节炎患者全因或心血管特定死亡率之间的关联
1Department of Rheumatology, Zhongshan Hospital, Fudan University, Shanghai, China.
Clinical and experimental rheumatology
|April 12, 2024
概括
通过生命必需8 (LE8) 测量的心血管健康 (CVH) 是类风湿性关节炎 (RA) 患者死亡率的强有力的预测指标. 较低的LE8分数表明CVH较差,并且与RA全因死亡风险增加有关.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 类风湿性关节炎 (RA) 患者面临更高的心血管疾病 (CVD) 负担.
- 评估心血管健康 (CVH) 对于管理RA中心血管疾病风险至关重要.
- 生活必需品8 (LE8) 是评估CVH的最新指标.
研究的目的:
- 研究RA患者LE8得分与死亡率之间的关联.
- 确定LE8是否是RA全因和心血管疾病死亡率的独立预测因素.
主要方法:
- 使用国家健康和营养检查调查数据 (2005-2018) 进行的前性队列研究.
- 分析了1424名RA患者的相关死亡率数据.
- 计算LE8分数并将其分类为高,中和低CVH组. 使用了权重考克斯回归和后勤回归模型.
主要成果:
- 与高CVH相比,较低的LE8得分与显著增加的全因死亡风险有关.
- 在LE8得分的每1个点下降与心血管疾病死亡率增加2.6%的风险相关.
- 灵敏度分析证实LE8是所有原因死亡率的强有力的预测指标,但不是心血管疾病死亡率.
结论:
- 通过LE8得分测量心血管健康,是美国RA患者全因死亡率的重要和独立预测指标.
- LE8指标为RA群体的死亡风险分层提供了有价值的见解.
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