转移到中心医院和心脏性休克的结果
Shubhadarshini Pawar1, Kannu Bansal2, J Dawn Abbott3,4
1Division of Cardiology, Department of Medicine, Cedar-Sinai Medical Center, Los Angeles, CA (S.P.).
Circulation. Heart failure
|March 5, 2025
概括
将心脏性休克 (CS) 患者转移到专门中心可以改善结果,减少住院死亡率和成本. 然而,转移的CS患者的再入院率更高.
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
背景情况:
- 关于转移到枢纽中心的心脏病性休克 (CS) 患者的结局数据有限.
- 这项研究比较了转移和非转移的CS患者的特征和结果.
研究的目的:
- 为了比较心脏性休克 (CS) 被转移到枢纽中心的患者的特征和结果,与没有转移到枢纽中心的患者进行比较.
- 评估转移状态与住院死亡率,住院时间,住院费用和再接收之间的关联.
主要方法:
- 成年患者 (≥18岁) 与CS从全国再接收数据库 (2016-2020年) 确定.
- 使用重叠倾向得分权重来分析转移状态和住院死亡率之间的关联.
- 多变量回归评估了二次结果,如停留时间,费用和再录取.
主要成果:
- 在314,098名CS患者中,9.8%被转移.
- 转移的患者在住院死亡率较低 (39.1%与47.1%相比;调整后OR,0.73).
- 转移的患者的费用和停留时间较低,但30天的再入院率更高 (所有原因,心脏,心力衰竭,非心脏).
结论:
- 转移到枢纽中心的CS患者在医院死亡率,费用和住院时间都较低.
- 尽管伴随性疾病和器官衰竭率较高,但转移到专门中心与更好的住院结果有关.
- 进一步的研究可能会探索减轻转移CS患者再入院率增加的策略.
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