对大动脉狭窄患者"获得护理"问题的审查:一个负面报告卡
Adam M Reisman1, Sammy Elmariah2
1Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, New York.
许多患有大动脉狭窄症的患者未被诊断或未得到充分治疗,特别是妇女和少数群体. 及早转诊到心脏门专家对于及时更换大动脉门和改善患者的治疗结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 心血管医学 心血管医学
- 膜心脏疾病 膜心脏疾病
背景情况:
- 大动脉狭窄症 (AS) 管理涉及从健康到治疗后恢复的连续性.
- 存在显著的护理差距,导致AS的诊断不足和治疗不足.
- 在代表性不足的少数群体和妇女中,在AS护理方面存在差异.
研究的目的:
- 突出了大动脉狭窄的识别和管理中的障碍.
- 强调需要改善AS的诊断和治疗策略.
- 为了强调及时转诊进行大动脉置换的重要性.
主要方法:
- 对大动脉狭窄患者的护理连续性的审查.
- 对症状严重AS的诊断和治疗率的分析.
- 检查特定患者群体的治疗差异.
主要成果:
- 许多患有AS的患者在临床上没有得到诊断,尽管有诊断性心声回声图.
- 在症状严重的AS患者中,不到50%的患者在两年内接受主动脉置换.
- 对具有症状的低梯度严重AS的治疗率较低.
- 代表性不足的少数群体和妇女经历了更高的管理不善率.
结论:
- 及时转诊至心脏门团队专家对于考虑动脉置换至关重要.
- 专家咨询有助于共享决策和获得拯救生命的干预措施.
- 解决护理缺口对于优化所有大动脉狭窄患者的治疗结果至关重要.
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