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在精神病学部门住院的患者中肺栓塞发生率:一个病例对照研究
Wanling Zhang1, Dhirendra Paudel2, Rui Shi3
1Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Frontiers in psychiatry
|September 2, 2024
概括
活跃的酒,身体或化学克制以及使用二增大精神病患者的肺栓塞 (PE) 风险. 心理药物可能会降低PE风险,d-二次体显示出诊断价值.
科学领域:
- 精神病学是一个精神病学.
- 肺部医学 肺部医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 肺栓塞 (PE) 是一种严重的疾病,需要及时诊断和管理.
- 识别风险因素和诊断标志物对于在脆弱人群中早期发现PE至关重要.
研究的目的:
- 在精神病医院住院患者中确定PE的预测因子.
- 在这个人群中评估PE的d-二次测试的诊断性能.
主要方法:
- 一个病例控制研究涉及10,077个精神病医院入院.
- 根据年龄和性别,匹配了41个新的PE病例与41个基于年龄和性别的对照.
- 使用条件后勤回归,并评估d-二次元的灵敏度和特异性.
主要成果:
- 活性酒精 (OR=3.675),身体克制 (OR=4.33),化学克制 (OR=4.67),和二类药物使用 (OR=3.33) 与增加PE风险有关.
- 在入院前服用心理药物显示PE风险较低 (OR=0.07).
- 对于PE检测,D-二次体显示了73.17%的灵敏度和87.80%的特异性 (AUC=0.833).
结论:
- 抑郁症史,酒和特定药物 (抗精神病药物,二类药物) 是精神病医院住院患者的关键PE预测因素.
- 心理药物可能会对PE产生保护作用.
- D-二分体是精神病医院住院患者PE的有价值的查工具,有助于风险分层和预防.
关键词:
计算机断层扫描 血管图谱在d-二聚体中.深静脉血栓形成的原因是深静脉血栓形成.精神障碍 精神障碍 精神障碍精神药物 精神药物是一种精神药物.肺栓塞 肺栓塞是一种肺栓塞.静脉血栓塞栓症是一种静脉血栓塞栓.更多相关视频
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