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丹麦传播血管内凝血 (DANDIC) 队列研究:发病率和短期死亡率的时间趋势
Simon Flæng1,2, Asger Granfeldt2,3, Henrik Toft Sørensen1
1Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, 8200 Aarhus, Denmark.
Journal of clinical medicine
|October 16, 2024
概括
从2013年到2020年,传播性血管内凝血 (DIC) 的发生率下降. 然而,尽管DIC率下降,但患者死亡率在这一时期没有改善.
科学领域:
- 血液学 血液学 血液学
- 关键护理医学 关键护理医学
- 流行病学 流行病学
背景情况:
- 分布式血管内凝血 (DIC) 是一种影响血液凝血的危急状况.
- 关于DIC的发病率和死亡率趋势的数据有限.
- 了解DIC流行病学对于患者管理至关重要.
研究的目的:
- 调查丹麦DIC的发病率和死亡率.
- 分析DIC发病率和结果的时间趋势.
- 确定影响DIC趋势的因素.
主要方法:
- 在丹麦中部地区以人口为基础的队列研究.
- 使用实验室数据库和临床审查识别DIC病例.
- 计算年龄和性别标准化发病率.
- 卡普兰-梅尔估计30天所有原因死亡率分析.
主要成果:
- 总共有2565名患者被纳入DIC队列.
- 总体而言,DIC发病率从每10万人年中的33.1降至24.0 (2013-2020年).
- 三十天死亡率从2013年的35%增加到2020年的41.3%.
结论:
- DIC发病率下降,主要是由于感染相关病例减少.
- 尽管发病率下降,但与DIC相关的死亡率没有改善.
- 需要进一步的研究来解决持续的DIC死亡率.
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