在住房不安全的情况下检查心力衰竭结果
Martine Webb1, Nicholas K Brownell2, Sonya Gabrielian3
1Department of Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Journal of cardiac failure
|July 6, 2024
概括
心力衰竭 (HF) 患者的住房不安全与年轻人群和更高的物质使用障碍率有关. 这些患者面临重新入院的风险增加,突出了针对性干预的必要性.
科学领域:
- 心脏病学 心脏病学
- 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:
- 住房不安全是影响心力衰竭 (HF) 患者结局的一个研究不足的因素.
- 众所周知,它会增加传染性和非传染性疾病的风险,可能会使HF预后和再住院率恶化.
研究的目的:
- 评估住房不安全对心力衰竭 (HF) 结果和美国医院利用率的影响.
- 为了比较住房不安全和没有住房不安全的HF患者之间的人口特征和并发症.
主要方法:
- 分析2020年全国住院患者样本和全国再接收数据库数据库对HF住院的数据.
- 使用ICD-10代码识别住房不安全情况.
- 后勤回归和Cox比例危险模型用于评估死亡率和再接收风险.
主要成果:
- 在1,003,270例HF住院病例中,1.6%涉及住房不安全的患者.
- 住房不安全的患者年轻,更有可能是黑人或西班牙裔,并且酒精/物质使用障碍和医疗补助保险的比例更高.
- 住房不安全与较低的住院死亡率有关,但所有原因的180天再入院的风险更高.
结论:
- 患有HF和住房不安全的患者表现出不同的人口特征和并发症.
- 与非无家可归的同行相比,他们更容易在住院后重新入院.
- 针对这一群体的并发症的有针对性的干预措施对于减少发病率,死亡率和再接收至关重要.
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