同时存在便秘和心力衰竭之间的关联心力衰竭患者的再入院 - 全国数据库研究
Toshiaki Isogai1,2, Kojiro Morita3, Akira Okada4
1Department of Cardiology, Tokyo Metropolitan Tama Medical Center Tokyo Japan.
Circulation reports
|November 11, 2024
概括
便秘增加了心力衰竭 (HF) 再入院的风险. 在高血压患者中控制便秘可能会减少住院再接收并改善结果.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 在心力衰竭 (HF) 患者中,便秘很常见.
- 它可能会增加血压变化和HF再入院风险.
- 关于便秘在HF的预后效果的大规模数据是有限的.
研究的目的:
- 调查便秘与1年HF再入院风险之间的关联.
- 提供关于这种关系的当代大规模数据.
主要方法:
- 对556,792名因HF住院的患者 (2016-2021) 的回顾性分析.
- 便秘被定义为在出院后继续使用药.
- 使用多变量考克斯和细灰模型评估的1年HF再接收.
主要成果:
- 便秘的患病率为22.0%和稳定.
- 便秘患者年龄较大,女性更常见,并且服用更多的HF药物.
- 便秘显著增加了1年的HF再接收风险 (aHR为1.08,95%CI为1.06-1.10).
结论:
- 便秘与HF再入院的风险更高有关.
- 解决HF患者的便秘对于降低再入院率至关重要.
- 需要进一步的研究和干预措施,以减轻高频率的便秘相关风险.
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