在经历住房不稳定的患者中,复发性中风和随后死亡率的预测因素
Ann Elizabeth Montgomery1, Aerin J DeRussy2, Joshua S Richman3
1Departments of Health Behavior, The University of Alabama at Birmingham, Birmingham, AL 35294, United States; Birmingham VA Medical Center, Birmingham, AL, United States.
概括
经历无家可归的退伍军人面临复发性中风的更高风险. 初级保健访问和VA无家可归计划可能会减少这一脆弱人群中中风复发和死亡风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无家可归与不良的健康结果有关.
- 无家可归者中经常出现中风的风险还没有得到充分的研究.
- 这项研究检查了住房不稳定的美国退伍军人的中风复发率和死亡率.
研究的目的:
- 调查与复发性中风相关的因素.
- 确定所有原因死亡率的预测因素.
- 分析住房不稳定和先前中风的退伍军人之间的结果.
主要方法:
- 使用了美国退伍军人事务部 (2014-2018) 的全国样本.
- 从659,987个住房不稳定的个人中,确定了15566名退伍军人中风事件.
- 在一次性中风和死亡率的离散时间生存框架中使用后勤回归.
主要成果:
- 8.7%的退伍军人经历了复发性中风; 91.3%没有.
- 主要护理门诊访问与减少复发性中风的几率相关.
- 高血压,糖尿病和脏疾病增加了复发性中风的几率.
- 退伍军人无家可归者计划的使用与减少全因死亡率有关.
结论:
- 在住房不稳定的退伍军人中确定了复发性中风和死亡率的关键预测因素.
- 强调需要密切监测高风险中风患者的同时出现的需求.
- 建议诸如初级保健服务和无家可归者计划参与等干预措施可以改善结果.
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