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炎症性肠病和肺栓塞:一个全国性的视角
Mohammad Aldiabat1, Laith Alhuneafat2, Omar Al Ta'ani3
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA.
European journal of gastroenterology & hepatology
|September 18, 2024
概括
患有肺栓塞 (PE) 和炎症性肠病 (IBD) 的住院患者比较年轻,并具有独特的并发症. 虽然死亡率相似,但IBD患者面临更高的不良事件风险和增加的医疗保健成本.
科学领域:
- 肺部医学 肺部医学
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 炎症性肠病 (IBD) 与静脉血栓栓塞的风险增加有关.
- 肺栓塞 (PE) 是住院患者患病和死亡的重要原因.
研究的目的:
- 为了比较PE患者住院患者的特征和结果,根据IBD的存在或不存在进行分层.
- 确定PE患者与IBD患者之间的人口统计,并发症和医院结局的差异.
主要方法:
- 使用2016-2019年全国住院患者样本进行的横截面观察性研究.
- 用ICD-10代码识别的PE住院成人患者的分析.
- 使用后勤回归,比较PE/IBD和PE/非IBD组之间的住院死亡率和并发症.
主要成果:
- 患有IBD的PE患者较年轻,并具有不同的并发症概况,心血管和代谢疾病较少,但慢性肝病较多.
- 在PE/IBD和PE/非IBD组之间,住院死亡率没有显著差异.
- 在PE/IBD患者中,急性损伤,败血症,败血性休克,心律失常,深静脉血栓症,住院时间长,医疗费用增加的情况较高.
结论:
- 与没有IBD的患者相比,患有IBD的住院PE患者具有不同的人口统计和并发症概况.
- 乳腺发育不良症患者利用更多的医疗资源,面临更高的医院不良事件的风险.
- 个性化管理策略对于优化住院PE患者IBD的护理至关重要.
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