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社会经济地位对机械循环装置利用和心脏性休克结果的社会经济地位的影响

Andrew Adelsheimer¹, Joseph Wang², Daniel Y Lu²

¹Division of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York.

Journal of the Society for Cardiovascular Angiography & Interventions

|August 12, 2024

概括

高社会经济地位 (SES) 的地区使用更多的机械循环支持 (MCS) 设备来治疗心脏性休克 (CS). 然而,CS的死亡率在所有SES群体中仍然相似,尽管SES地区的医院费用增加.

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
医疗器械医疗器械

背景情况:

心脏性休克 (CS) 的死亡率很高.
临时机械循环支持 (MCS) 设备越来越多地用于CS患者.
关于社会经济地位 (SES) 如何影响MCS设备的使用和CS的结果的数据有限.

研究的目的:

调查社会经济地位 (SES) 与心脏性休克 (CS) 患者使用机械循环支持 (MCS) 设备之间的关联.
评估SES对MCS设备治疗的CS患者临床结果的影响,包括死亡率和医院费用.

主要方法:

从美国9个州的2016年州住院患者数据库分析了38,520次CS住院病例.
根据邮政编码的家庭收入中位数,患者被分为SES四分之一.
在SES四分位数中比较临时MCS设备使用率,再血管化率,临床结果和医院费用.

主要成果:

较高的SES区域显示,临时MCS设备的利用率显著增加 (最高四分位数的24.1%,最低四分位数的21.3%,P < .01).
在所有SES四分位数中,重血管化率是可比的.
在SES群体之间没有观察到总体CS死亡率的显著差异,但更高的SES区域承担了更高的医院费用.

结论:

在CS患者的较高SES区域增加了临时MCS设备的使用.
社会经济地位似乎没有影响MCS治疗的CS患者的整体死亡率.
较高的SES与CS住院的医疗保健成本增加有关.

关键词:

心脏发生的冲击是心脏的冲击.机械循环支持机械循环支持社会经济地位社会经济地位

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