在穿透导管和外科动脉置换后的第一年内住院的负担
Jawad H Butt1, Adelina Yafasova2, David Thein3
1Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark; Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.
American heart journal
|July 31, 2024
概括
过导管大动脉置换术 (TAVR) 后住院的情况很大. 虽然TAVR患者的早期住院次较少,但与外科动脉置换 (SAVR) 相比,他们的住院次较晚.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 干预心脏病学 干预心脏病学
背景情况:
- 住院治疗对患者和医疗保健系统来说是一个巨大的负担.
- 可预防性住院治疗是改善患者治疗结果和资源配置的关键重点.
研究的目的:
- 为了比较经过过导管大动脉置换 (TAVR) 和隔离外科大动脉置换 (SAVR) 的患者之间的一年住院负担.
- 分析TAVR和SAVR队伍在手术后一年的住院率和模式.
主要方法:
- 利用丹麦全国性的注册表来识别2008年至2019年期间首次接受TAVR或分离SAVR的患者.
- 根据出院诊断代码将随后的住院被分类为心血管或非心血管.
主要成果:
- 与SAVR患者 (N=5,220) 相比,TAVR患者 (N=4,921) 年龄较大,并患有更多的并发症.
- 在一年内,TAVR患者有5,725次住院治疗,SAVR患者有4,426次住院治疗.
- 与SAVR相比,TAVR与较低的早期住院率 (HR 0.89),但较高的晚期住院率 (HR 1.46) 相关.
结论:
- 在TAVR之后的一年住院的负担是相当大的.
- 与SAVR相比,TAVR患者表现出明显的住院模式:较低的早期但较高的晚期病例率.
- 住院率的差异可能来自TAVR和SAVR组之间的患者特征未测量的变化.
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