在欧盟,动脉干预与更高的并发症率有关
Christina L Cui1, Roberto S Loanzon1, Conor Walsh2
1Department Surgery, Durham VA Medical Center, Durham, NC; Division of Vascular and Endovascular Surgery, Department of Surgery, Duke University, Durham, NC.
Annals of vascular surgery
|April 9, 2025
概括
与VA医院护理相比,接受社区护理的退伍军人患上动脉狭窄的复手率更高. 需要进一步的研究来优化对寻求社区干预的退伍军人的护理.
科学领域:
- 血管外科 血管外科
- 医疗保健服务研究 医疗服务研究
- 退伍军人卫生管理局退伍军人卫生管理局
背景情况:
- "维护内部系统和加强综合外部网络法案"扩大了退伍军人获得社区护理的机会.
- 动脉狭窄症 (CAS) 管理是退伍军人健康的一个关键问题.
- 评估社区护理的术后结果是必不可少的.
研究的目的:
- 评估接受CAS社区护理的退伍军人的术后结果.
- 在社区和VA环境中比较 carotid endarterectomy (CEA) 和 transcarotid revascularization (TCAR) 的结果.
主要方法:
- 追溯队列研究,比较CAS干预措施.
- 数据来源于企业数据仓库和患者病历 (2022年11月至2023年11月).
- 包括通过社区护理 (CITC) 和达勒姆VA医疗中心 (DVAMC) 接受护理的退伍军人.
主要成果:
- 10名退伍军人接受了社区手术 (7 CEA,2 TCAR,1 支架扩张器) 并进行了3次重复手术.
- 28名退伍军人接受了CITC对CAS的咨询.
- 37名退伍军人在DVAMC接受了37次手术 (25 CEA,12 TCAR) 0次重新手术 (P = 0.007对CITC).
结论:
- 社区对CAS的护理比VA医院护理具有更高的重新手术率.
- 社区护理的便利性需要与外科手术的结果保持平衡.
- 对使用社区护理的退伍军人进行CAS管理的优化策略是必要的.
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