在精神分裂症患者中预防二次中风
Moira K Kapral1,2,3, Joan Porter2, Paul Kurdyak2,3,4
1Department of Medicine, Division of General Internal Medicine University of Toronto Canada.
Journal of the American Heart Association
|July 26, 2024
概括
精神分裂症患者在缺血性中风后经历了减少的二次预防护理. 这项研究强调了心血管风险因素管理和精神分裂症中风幸存者的专业护理方面的差异.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 精神分裂症患者的心血管疾病治疗率较低.
- 二次预防性护理对于中风后恢复和减少中风复发至关重要.
研究的目的:
- 评估精神分裂症与继缺血性中风后接受二次预防护理之间的关联.
主要方法:
- 在加拿大安大略省 (2004-2017) 使用链接的行政数据进行了回顾性队列研究.
- 确定的成年人幸存1年后缺血性中风住院治疗.
- 使用修改后的Poisson回归来比较患有精神分裂症和没有精神分裂症的个体之间的结果,对共变量进行调整.
主要成果:
- 精神分裂症与超脂血症和糖尿病查率较低有关.
- 精神分裂症患者的抗高血压药物处方减少,目标脂质水平的达到较低.
- 在精神分裂症组中,在中风后的一年内,观察到门诊专家和初级保健医生的访问较少.
结论:
- 与没有精神分裂症的人相比,精神分裂症中风患者获得的二次预防护理较少.
- 鉴定到的护理缺口表明需要有针对性的干预措施,以改善精神分裂症患者中风后的结果.
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