心脏康复途径是否受到糖尿病的影响:一项队列研究
Birgitte Bitsch Gadager1, Lars Hermann Tang2, Patrick Doherty3
1Centre for Rehabilitation Research, Department of Public Health, Aarhus University, Aarhus, Denmark; DEFACTUM, Central Denmark Region, Aarhus, Denmark.
International journal of cardiology
|June 16, 2024
概括
患有糖尿病的患者在急性冠状动脉综合征 (ACS) 后不太可能参加心脏康复 (CR). 需要增加支持,以改善ACS后糖尿病患者的CR吸收.
科学领域:
- 心脏病学 心脏病学
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
背景情况:
- 建议急性冠状动脉综合征 (ACS) 患者进行心脏康复 (CR).
- 糖尿病是ACS患者常见的并发症,但他们参与CR的研究不足.
- 在糖尿病的ACS患者中识别CR的障碍对于公平的护理至关重要.
研究的目的:
- 检查糖尿病和没有糖尿病的ACS患者的CR转诊,吸收和完成率.
- 为了确定糖尿病ACS患者的CR途径中的潜在差异和障碍.
主要方法:
- 在丹麦中部地区2017年9月至2018年8月期间出院的ACS患者 (≥18岁) 的回顾性研究.
- 从三个数据源中确定糖尿病状态.
- 后勤回归分析,以评估糖尿病与非转诊,非吸收和非完成CR之间的关联,报告为几率比率 (OR) 与95%置信区间 (CI).
主要成果:
- 在2447名符合条件的ACS患者中,18.7%患有糖尿病.
- 糖尿病与CR的不摄取显著相关 (OR = 1.38,95% CI 1.01-1.90).
- 在糖尿病和非糖尿病ACS患者之间,没有发现非转诊 (OR = 1.11,95% CI 0.87-1.41) 或非完成 (OR = 1.06,95% CI 0.73-1.53) 的统计学意义上的关联.
结论:
- 在患有糖尿病的ACS患者中,CR吸收存在显著差异.
- 糖尿病ACS患者需要加强推广和支持,以促进CR入学.
- 解决这些障碍对于改善CR可访问性和所有ACS患者的结果至关重要.
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