妇女退伍军人中风风险因素:确定的预防方法和知识差距
Renee Colsch1, Maureen Onweni-Eze2, Elizabeth M Byrd3
1Education, Minneapolis VAMC, Minneapolis, MN 55417, USA.
Military medicine
|September 26, 2024
概括
女性退伍军人面临更高的中风风险,由于多病症. 建议在30岁时进行早期查,重点关注诸如创伤后应激障碍和便秘等疾病.
科学领域:
- 心血管健康 心血管健康
- 退伍军人健康的医疗服务
- 公共卫生 公共卫生
背景情况:
- 脑卒中对健康造成重大负担,特别是在女性退伍军人中,她们的多病率更高.
- 现有研究表明,需要了解这一群体中独特的中风风险因素.
研究的目的:
- 综合关于特定于美国女退伍军人中风风险因素的证据.
- 确定风险因素与中风预防和治疗延迟之间的关联.
主要方法:
- 在6个主要数据库中对1218个记录进行了全面的范围审查.
- 收录标准集中在英语同行评审的文章,涉及女性退伍军人,心血管疾病和中风风险因素.
主要成果:
- 14篇文章符合纳入标准,采用来自国家和VA研究的数据.
- 在女性退伍军人中,中风风险从30岁开始稳步增加,这表明比目前建议的45岁更早地进行查.
- 在患有PTSD,失眠,TBI,便秘和其他疾病的退伍军人中观察到更高的中风发病率; 黑人退伍军人显示出比白人退伍军人更高的发病率.
结论:
- 与中风风险相关的性别,性别和退伍军人身份的经验文献有限.
- 对女性退伍军人进行创伤后应激障碍和中风的查应该从30岁开始.
- 临床医生应该选和治疗女性退伍军人PTSD和便秘,考虑替代疗法.
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