对亚洲患者的多年基于人口的分析,这些患者患有急性不补偿性心力衰竭和晚期慢性病
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Samuel S Tan1, Wenchy Yy Tan2, Lucy S Zheng1
1Department of Medicine, Icahn School of Medicine at Mount Sinai, Beth Israel, New York, New York, USA.
Current problems in cardiology
|May 12, 2024
概括
患有晚期慢性病 (CKD) 和急性不补偿性心力衰竭 (ADHF) 的亚洲患者面临更高的风险和更差的结果. 这项研究突出了差异,强调了在管理这些复杂的患者群体时需要量身定制的干预措施.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 健康差异 在健康上的差异
背景情况:
- 关于因心力衰竭而住院的亚洲患者晚期慢性病 (CKD) 结果差异的数据有限.
- 在这个代表性不足的人群中调查风险因素和结果对于公平的护理至关重要.
研究的目的:
- 分析亚洲患有晚期CKD,因急性不补偿性心力衰竭 (ADHF) 住院的患者的结果和风险因素的差异.
- 为了比较不同族群的住院死亡率,住院费用和住院时间.
主要方法:
- 使用国家住院患者样本 (2016-2019) 进行回顾性队列研究.
- 包括初级ADHF诊断和并发性晚期CKD的患者.
- 权重的多变量逻辑回归调整为并发症.
主要成果:
- 亚洲患者 (2.6%的队列) 的并发症负担高于其他患者,但低于白人患者.
- 尽管伴随性疾病的差异,亚洲患者面临更高的严重后果的可能性.
- 在调整后,白人患者的死亡率高于亚洲患者,而黑人和西班牙裔患者的死亡率较低.
结论:
- 与黑人和西班牙裔患者相比,患有晚期CKD和ADHF的亚洲患者经历了更大的并发症负担和更差的结果.
- 调查结果强调需要全面的表型和特定种族干预措施.
- 这项以人口为基础的研究强调了改善护理公平的关键领域.
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