慢性血栓栓塞性肺高血压患者的生存趋势:一项观察性研究
Takatoyo Kiko1, Ryotaro Asano2,3, Yusuke Yoshikawa4
1Division of Pulmonary Circulation, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center tak@ncvc.go.jp.
慢性血栓栓塞性肺高血压 (CTEPH) 患者的结局显著改善. 治疗方面的进步,包括多式疗法,在不同时期导致更好的生存率.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 医学成果研究研究成果
背景情况:
- 慢性血栓栓塞性肺高血压 (CTEPH) 是一种严重的疾病,治疗风景不断变化.
- 虽然治疗选择已经扩大,但随着时间的推移对患者结果的影响仍然不清楚.
研究的目的:
- 评估CTEPH患者治疗和治疗结果的时间趋势.
- 评估不同历史时期中CTEPH患者全因死亡率的变化.
主要方法:
- 从1980年4月到2023年12月对834名CTEPH患者的回顾性分析.
- 患者被分为早期,中期和当前治疗时期.
- 使用多变量Cox比例危险模型分析所有原因的死亡率.
主要成果:
- 采用CTEPH治疗的显著增加,从早期的35%增加到当前的97%.
- 随着时间的推移,多式疗法从0%增加到58%.
- 总体生存率显著改善 (逻辑等级p<0.001),五年生存率从68%上升到93%.
结论:
- 近几十年来,CTEPH患者的长期预后明显改善.
- 更多地采用疗法和多模式治疗策略与改善的生存率相关.
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