加利福尼亚州急诊室心脏并发症的负担
Lydia Wilson1, Sasha Singh1, Daryoush Javidi2
1Medicine, California University of Science and Medicine, Colton, USA.
Cureus
|November 4, 2024
概括
加利福尼亚州初级保健短缺地区 (PCSAs) 的急诊室面临更高的心脏并发症负担. 圣伯纳迪诺县ED显示显着更高的心脏访问,需要局部干预.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病流行病学
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 与加利福尼亚州的平均水平相比,圣贝纳迪诺县的心血管疾病 (CVD) 死亡率和初级保健医生短缺率较高.
- 这些差异影响了急诊室 (ED) 的利用率,特别是在心脏相关的紧急情况.
- 了解心脏并发症的ED负担对于有针对性的公共卫生干预至关重要.
研究的目的:
- 评估圣贝纳迪诺县和整个加利福尼亚州ED的心脏并发症负担.
- 为了比较与心脏相关的ED负担,在初级保健短缺地区 (PCSAs) 内外的医院之间.
- 为了确定与心脏相关的ED访问的区域差异.
主要方法:
- 使用了来自加利福尼亚州卫生和人类服务开放数据门户的数据.
- 对心脏相关疾病的ED访问平均率进行了基线比较.
- 采用独立的样本t测试来分析PCSA和非PCSA医院之间以及加利福尼亚各地区ED负担的统计学上显著差异.
主要成果:
- 与心脏相关的ED访问率在圣贝纳迪诺县的PCSA指定没有显著差异 (p > 0.05).
- 然而,南加利福尼亚州和全州的PCSA医院显示,与心脏相关的ED访问率显著更高 (p <0.05).
- 与南加州和加利福尼亚其他地区相比,圣贝纳迪诺县EDS的心脏相关访问率显着更高 (p < 0.001).
结论:
- 加利福尼亚州PCSAs中心脏相关ED访问的增加强调需要改善初级保健和心血管疾病预防策略.
- 圣贝纳迪诺县心脏病患者的大量ED负担需要特定区域的干预措施.
- 解决医疗保健获取差异对于减轻心血管疾病对紧急服务的影响至关重要.
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