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在上腺功能不全患者中,ST片段升高心肌梗塞的结果
Nadhem Abdallah1, Abdilahi Mohamoud1, Mahmoud Ismayl2
1Department of Internal Medicine, Hennepin Healthcare, Minneapolis, MN 55415, USA.
Journal of the Endocrine Society
|November 21, 2024
概括
患有上腺功能衰竭 (AI) 的患者在ST段升高心肌梗塞 (STEMI) 后经历了更糟糕的结果. 这包括更高的死亡率,更多的并发症,如急性损伤,以及医疗保健资源使用量的增加.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 住院医疗 住院医疗 住院医疗
背景情况:
- 上腺功能衰竭 (AI) 与心血管疾病风险增加和医疗紧急情况的结果较差有关.
- 关于ST段升高心肌梗塞 (STEMI) 结果的数据有限,特别是在AI患者中.
研究的目的:
- 研究AI与STEMI患者在医院治疗的结果之间的关联.
- 为了比较AI和没有AI的STEMI患者的死亡率,干预措施和并发症.
主要方法:
- 利用2016-2019年国家住院样本数据库用于STEMI入院.
- 用多变量回归调整人工智能和无人工智能患者之间的医院治疗结果,并使用多变量回归调整混因子.
- 主要结局是住院死亡率;次要结局包括PCI,CABG,AKI,血管压缩器使用,MCS,机械通风,VT,LOS和费用.
主要成果:
- AI患者 (0.2%的690,430STEMI入院) 的住院死亡率更高 (aOR 1.51).
- 人工智能与CABG,AKI,VT,血管压缩器使用,机械通风和MCS的几率增加有关.
- 有AI的STEMI患者经历了更长的住院时间和明显更高的总费用.
结论:
- 接受STEMI治疗的AI患者面临高的住院死亡率.
- 人工智能与非致命不良事件的更高发生率和STEMI后医疗保健资源利用率的增加有关.
- 这些发现突出了针对AI的STEMI患者量身定制的管理策略的关键需求.
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