分析患有ALS的退伍军人死亡原因和位置:十年回顾
Meheroz H Rabadi1,2, Kimberly A Russell1,2, Chao Xu3
1Department of Neurology, Oklahoma City Veterans Affairs Medical Center, Edmond, OK, USA.
概括
呼吸系统衰竭是美国退伍军人患有肌缩侧面硬化症 (ALS) 的首要死亡原因. 在这项研究中,大多数ALS患者在家中死亡,被家人包围,死亡率是普通人群的26倍.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 退伍军人健康 退伍军人的健康
背景情况:
- 肌缩侧面硬化 (ALS) 是一种渐进的运动神经元疾病,导致自愿运动丧失.
- 它会影响大脑和脊髓中的神经细胞,最终导致呼吸衰竭.
研究的目的:
- 确定美国退伍军人诊断出ALS的人口统计数据,死亡原因和死亡地点.
- 分析死亡率并将其与普通人口进行比较.
主要方法:
- 对105名被诊断患有ALS的美国退伍军人 (2010-2021) 的医疗记录的回顾性审查.
- 收集患者人口统计,死亡原因 (死亡证明,护理人员) 和死亡地点的数据.
- 计算的原始死亡率和标准化死亡率 (SMR).
主要成果:
- 在为期11年的研究期间,105名退伍军人中有80人 (76.2%) 死亡.
- 死亡的主要原因是呼吸衰竭和肺炎 (43人死亡,死亡率9.21/100人年).
- 大多数死亡发生在家中 (71名退伍军人,88.7%). 所有原因的SMR为25.63.
结论:
- 呼吸系统疾病是患有ALS的退伍军人死亡的主要原因.
- 家庭死亡,通常与家人一起,对于ALS患者来说很常见.
- 与普通人口相比,患有ALS的退伍军人死亡率明显高.
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