用心力衰竭住院的退伍军人进行天然尿素测试:根据性别的潜在差异
Parul U Gandhi1, Tessa Runels2, Ling Han1
1VA Connecticut Healthcare System, West Haven, CT, USA; Yale University School of Medicine, New Haven, CT, USA.
Heart & lung : the journal of critical care
|February 19, 2025
概括
与男性相比,心力衰竭住院 (HFH) 的女性在入院时接受自然尿素测试 (NPT) 的可能性较低. 这种差异可能会推迟女性的诊断和治疗.
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
- 健康 公平 卫生 公平
背景情况:
- 尿性测试 (NPT) 对于诊断和管理心力衰竭住院治疗 (HFH) 是至关重要的.
- 了解NPT利用中的基于性别的差异对于公平的护理至关重要.
研究的目的:
- 为了调查NPT在HFH的退伍军人中使用.
- 评估NPT利用中的基于性别的差异.
- 检查与NPT使用相关的因素.
主要方法:
- 对55935名患有HFH的退伍军人的回顾性分析 (2015年10月至2020年9月).
- 评估了NPT录取率和性别差异.
- 使用后勤回归来识别与人口,临床和设施特征的关联.
主要成果:
- 女性 (2.2%) 较年轻,并与男性有不同的并发症概况.
- 入院NPT发生在78.3%的患者中 (78.4%的男性vs. 74.7%的女性,p=0.002).
- 在调整共变量 (OR=0.85) 后,女性接受NPT的可能性降低了15%.
结论:
- 患有HFH的女性比男性更少接受NPT.
- 这种差异可能导致妇女的诊断和治疗延迟.
- 需要进一步的研究来评估临床影响,并改善所有患者的NPT接入.
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