患有非阻塞性冠状动脉心肌梗塞的患者精神健康障碍的影响:倾向性得分匹配全国性分析
Abdul Rasheed Bahar1, Paawanjot Kaur1, Yasemin Bahar1
1Department of Internal Medicine, Wayne State University/Detroit Medical Center, Detroit, MI, USA.
患有非阻塞性冠状动脉心肌梗塞 (MINOCA) 和精神健康障碍的患者面临更高的死亡率和不良结果. 综合护理对于改善这些高风险MINOCA患者的预后至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 心肌梗塞与非阻塞性冠状动脉 (MINOCA) 缺乏明确的原因和明确的结果.
- 心理健康障碍对MINOCA患者预后的影响还未得到充分研究.
- 心血管风险与心理健康状况有关,需要进一步调查.
研究的目的:
- 研究MINOCA患者的精神健康障碍和住院结果之间的关联.
- 确定心理健康状况是否独立影响MINOCA的死亡率和不良事件.
主要方法:
- 从2017-2021年使用国家住院患者样本 (NIS) 进行回顾性队列研究.
- 使用ICD-10-CM代码识别了患有或没有精神疾病的MINOCA患者.
- 员工倾向得分匹配和反向概率加权 (IPW) 用于混调整.
主要成果:
- 患有精神疾病的MINOCA患者在住院死亡率较高 (2.26%对1.21%).
- 观察到心脏骤停 (1.51% vs 0.65%),肺栓塞 (1.54% vs 0.65%),以及急性损伤 (25.45% vs 20.24%) 的风险增加.
- 这些结果在倾向性得分匹配后仍然显著.
结论:
- 心理健康障碍与MINOCA患者医院住院结果更差有独立的联系.
- 研究结果强调需要综合的心血管和精神病治疗.
- 早期查和多学科管理对于改善MINOCA患者的治疗结果至关重要.
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