瑞士心力衰竭可避免住院的趋势 (1998-2018):横截面分析
Lionel Gaillard1, Ko Ko Maung2, Charlène Mauron1
1Centre for Primary Care and Public Health (Unisanté), University of Lausanne, 1011 Lausanne, Switzerland.
Healthcare (Basel, Switzerland)
|January 8, 2025
概括
在瑞士,因心力衰竭 (HF) 住院的潜在可避免病例稳步增加. 改善门诊护理至关重要,以减少HF入院日益增加的医疗和财务负担.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于心力衰竭 (HF) 的潜在可避免住院 (PAHs) 对医疗保健系统构成重大负担.
- 有效的门诊护理是防止HF患者不必要入院的关键.
研究的目的:
- 在20年期间 (1998-2018) 分析瑞士HF的PAH的趋势,决定因素和后果.
- 评估HF PAHs患者不断变化的患者人口统计和入院特征.
主要方法:
- 利用了瑞士从1998年到2018年的医院出院数据.
- 根据经济合作与发展组织 (OECD) 的标准,对HF定义了PAHs.
- 分析了入院率,患者人口统计,并发症 (查尔森指数),入院路线,ICU使用,住院时间和相关成本.
主要成果:
- 高频PAHs显著增加,年龄标准化的入院率从1999年至2018年之间每10万居民的107.8增加到220.7.
- 由于高频率PAHs而入院的患者变得老了,并且更频繁地呈现出不那么严重的并发症,更高的紧急入院率和增加的自主入院率.
- 在2018年,高温PAH的成本超过了1.7亿瑞士法郎,每年占用407张床位,尽管停留时间减少.
结论:
- 在瑞士,HF的PAH发病率呈现出一致的上升趋势.
- 与高频率PAHs相关的医疗和财务负担是相当大的,并且在不断增加.
- 及时和适当的门诊护理干预措施具有显著的潜力,可以减少高频率PAH及其相关成本.
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