战争对ACS招生和分类的影响 - 一个单一的中心体验
Sharon Bruoha1, Tatiana Stolichny1, Vladimir Chitoroga1
1Department of Cardiology, Barzilai University Medical Center, Ashkelon and Faculty of Health Science, Ben-Gurion University of the Negev, Israel.
Heliyon
|January 10, 2025
概括
战争显著减少了急性冠状动脉综合征 (ACS) 的入院,但患者的结果保持稳定. 即使在有系统的方法和提高意识的冲突中,也可以实现ACS的有效管理.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于战争对心血管疾病的影响的数据有限.
- 以色列-加沙战争 (2023年10月7日-2024年1月6日) 提供了对战争对急性冠状动脉综合征 (ACS) 的影响的见解.
研究的目的:
- 研究战争对活跃冲突地区ACS患者的流行病学,特征和管理的影响.
主要方法:
- 对2023年10月7日至2024年1月6日期间入院的ACS患者的回顾性分析.
- 收集了关键时间间隔,住院和30天结果的数据.
- 结果与战前时期的ACS病例进行了比较.
主要成果:
- 总共有449名ACS患者被分析 (358名战前,91名战争期间).
- 在战争期间,每月的ACS入院数量显著下降 (28.79比38.91,p<0.001).
- 对于ST升高心肌梗塞 (STEMI) 的缺血时间保持相似 (179分与187分,p = 0.849).
结论:
- 战争极大地影响了心血管疾病的发病率,但不一定影响了入院率.
- 在战争期间,通过系统的方法和提高认识,尽管资源有限,但可以有效地管理ACS患者.
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