教科书结果作为一种新的以患者为中心的指标,以告知动脉复血管化
Jesse A Columbo1, Brianna M Krafcik1, Eleonore Baughan2
1Geisel School of Medicine at Dartmouth, Hanover, NH; Section of Vascular Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Journal of vascular surgery
|February 8, 2025
概括
一个新的以患者为中心的结局测量方法,用于动脉再血管化,显示许多患者无法获得最佳的结果. 未能达到这本教科书的结果 (TO) 与更糟糕的长期存活有关,这影响了动脉护理的共享决策.
科学领域:
- 血管外科 血管外科
- 患者为中心的结果.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 历史上的动脉干预终点缺乏以患者为中心的细微差别.
- 最近的国家覆盖率确定强调以患者为中心的动脉护理和共享决策.
研究的目的:
- 为了创建一个新的,以患者为中心的教科书结局 (TO),用于动脉再血管.
- 为目前和未来的动脉治疗模式提供信息.
主要方法:
- 开发了一种复合的TO,包括免受术后事件,早出院和30天的生存期.
- 分析了来自血管质量倡议 (VQI) 的72,778名接受CEA,TCAR或TF-CAS (2016-2023) 的无症状患者的数据.
主要成果:
- 在76.9%的患者中实现了ATO;根据程序的比率略有变化 (CEA 76.7%,TCAR 76.5%,TF-CAS 79.1%).
- 21.0%的患者住院时间为2天或更长.
- 在所有队列中,未能达到TO与较低的5年生存率有关 (日志等级P<.001).
结论:
- 很大一部分患者在当前的动脉再血管化实践中没有达到新的以患者为中心的TO.
- 无法实现TO与显著较差的长期存活相关.
- 研究结果支持在动脉护理中共享决策,使患者的偏好与手术类型保持一致.
关键词:
冠状动脉末端切除术 (Carotid endarterectomy) 是一种切除术.冠状动脉复血管化治疗冠状动脉狭窄症 冠状动脉狭窄动脉手术是一项手术.这就是TCAR TCAR.教科书的结果教科书的结果更多相关视频
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