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结构化综合性肺栓塞后随访护理模式 (Attend-PE) 的有效性和成本效益:多中心临床前后研究的理由和协议
Nanna Rolving1,2, Stine Foged Lindegaard3, Søren Paaske Johnsen4
1Physiotherapy and Occupational Therapy, Aarhus University Hospital, Aarhus N, Denmark Nanna.Rolving@rm.dk.
BMJ open
|December 11, 2024
概括
一个新的结构化后续计划,Attend-PE,旨在改善肺栓塞 (PE) 患者的生活质量和治疗坚持. 本研究评估了与常规护理相比它的有效性和成本效益.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 肺栓塞 (PE) 幸存者经常面临长期功能障碍和生活质量下降.
- 丹麦目前的PE后护理缺乏结构化的后续计划,导致实践变化.
- 没有先前的研究评估了PE患者结构化后续模型的有效性.
研究的目的:
- 评估Attend-PE结构化后续护理模式的有效性和成本效益.
- 为了将Attend-PE模型与肺栓塞后肺栓塞管理的通常护理进行比较.
主要方法:
- 一项介入前后研究设计,涉及丹麦2000名患者.
- 共同初级结局:与健康相关的生活质量 (PRO) 和遵守医疗治疗 (注册数据).
- 二次结果包括残疾,满意度,自我管理,心理健康,工作生产力,反复发作,出血,死亡率和医疗保健利用率.
主要成果:
- 数据收集包括基线,PE后6个月和12个月的基于注册表的评估.
- 患者报告的结果数据将在PE后6个月和12个月收集.
- 将进行全面的健康经济评估,包括成本效益和成本效益分析.
结论:
- 这项研究将为PE患者的结构化随访的好处提供关键的见解.
- 调查结果将为医疗保健提供者和政策制定者提供有关优化PE后护理的信息.
- 计划通过同行评审的出版物,会议和患者协会进行传播.
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