对于美国人口来说,内血管治疗符合中风患者的预测
Eva A Mistry1, Jane C Khoury2, Dawn O Kleindorfer3
1Department of Neurology and Rehabilitation Medicine (E.A.M., B.M.K., K.S.A., S.F., S.L.D., M.H., D.W., Y.N.A., P.K.), University of Cincinnati, OH.
Stroke
|June 27, 2024
概括
了解基于人群的内血管血栓切除术 (EVT) 资格至关重要,因为症状不断扩大. 这项研究预计,在2020年,有8,659至17,219名美国成年人符合严格的EVT标准,并有可能增加四倍.
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:
- 血管内血栓切除术 (EVT) 是急性缺血性中风的关键治疗方法.
- 扩大EVT指标需要了解人口层面对医疗保健资源规划的资格.
- 准确的EVT资格预测对于优化中风护理系统至关重要.
研究的目的:
- 预测目前和未来的基于美国人群的内血管血栓切除术 (EVT) 资格.
- 估计满足当前和扩展EVT标准的成年患者数量.
- 为了告知中风系统为增加EVT需求做好准备.
主要方法:
- 大辛辛那提北肯塔基中风研究 (GCNKSS) 队列 (2015年时代) 的后期分析.
- 将医生判断的中风数据推断到2020年美国成年人口普查.
- 根据从上次已知的时间,NIH中风量表和修改的兰金量表来确定EVT资格,并将闭塞和核心大小的保守和自由估计纳入其中.
主要成果:
- 据估计,在2020年,有8,659至17,219名美国成年人符合目前的EVT标准.
- 扩大资格标准可能包括36,562至73,174名患者.
- 根据扩展标准的子群体估计,根据大核心,轻微的缺陷或较高的前脑卒中残疾而有所不同.
结论:
- 目前美国的EVT资格估计在8,659至17,219名成年患者之间.
- 预计随着更广泛地采用治疗指南,EVT资格率将增加四倍.
- 美国中风系统需要快速优化,以管理越来越多的EVT合格患者.
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