贫血对心肌梗塞患者的结局和资源利用的影响:国家数据库分析
Aravdeep S Jhand1, Waiel Abusnina2, Hyo Jung Tak3
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
International journal of cardiology
|May 2, 2024
概括
心肌梗塞 (MI) 患者的贫血与更糟糕的结果有关,包括更高的死亡率和更长的住院时间. 血性心脏病患者的输血也可能增加死亡风险.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 贫血是患有心肌梗塞 (MI) 的患者常见的并发症.
- 心脏病发作患者贫血的管理和影响仍然是临床争议的领域.
- 这项研究量化了MI入院中贫血和住院结果之间的关联.
研究的目的:
- 确定贫血和住院不良事件之间的关系.
- 评估贫血对心脏病发作患者住院时间 (LOS) 和总医疗费用的影响.
- 调查输血与贫血性心脏病发作患者的结局之间的关联.
主要方法:
- 使用国家住院样本 (NIS) 数据库从2014-2018年.
- 确定的住院病例,主要诊断码为急性心脏病发作和次要码为贫血.
- 采用多变量逻辑回归和通用线性模型来分析结果.
主要成果:
- 在1,113,181例心脏病住院病例中,22.8%出现了贫血.
- 贫血与增加的住院死亡率 (OR 1.09) 独立相关.
- 贫血患者经历了更长的LOS (2.71天) 和更高的总成本 (9703美元).
- 血性心脏病患者的输血与较高的死亡率有关 (8.2%与7.0%相比).
结论:
- 贫血显著增加了住院死亡率,不良事件,LOS,以及心脏病患者的成本.
- 在贫血的心脏病发作患者中使用输血需要进一步调查,因为它与死亡率增加有关.
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