在瑞士,可能可以避免的高血压住院病例的20年趋势
Pedro Marques-Vidal1, Ko Ko Maung2, Alexandre Gouveia3
1Department of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland. Pedro-Manuel.Marques-Vidal@chuv.ch.
概括
在瑞士,高血压的潜在可避免住院患者数量最初上升,然后下降,影响年轻女性,造成数百万美元的损失. 这些住院病例对医疗保健系统构成重大负担.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心血管疾病流行病学
背景情况:
- 潜在可避免的住院治疗 (PAH) 在全球范围内对医疗保健系统构成重大负担.
- 高血压是心血管疾病的主要风险因素,也是入院的常见原因.
研究的目的:
- 分析1998年至2018年瑞士高血压住院的趋势,特征和潜在可避免住院后果.
- 了解患者人口统计,入院模式和与这些住院相关的医疗保健费用.
主要方法:
- 在瑞士 (1998-2018) 对117,507例高血压住院病例的回顾性分析.
- 基于经济合作与发展组织 (OECD) 标准的PAH定义.
- 在PAH和非PAH组之间比较患者特征,并发症 (查尔森指数),入院细节和费用.
主要成果:
- 高血压的PAH年龄标准化率从1998年到2004年增加,然后到2018年下降.
- 与非PAH患者相比,PAH患者更年轻,更常见的是女性,非瑞士国民,并与非PAH患者相比急诊.
- 对高血压的PAH产生了相当大的成本,2018年估计为1650万瑞士法郎,每次住宿的中位成本为4936瑞士法郎.
结论:
- 在瑞士,可能可以避免的高血压住院病例表现出复杂的趋势,显著增加,随后下降.
- 这些住院治疗不成比例地影响特定的患者群体,并代表了相当大的,不可忽视的医疗保健成本.
- 对预防策略和获得医疗保健的进一步研究是有必要的,以减少高血压的PAH负担.
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