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胃衰竭住院结果的性别相关差异
Ahmed Ali Aziz1, Rehan Shah2, Muhammad Ali Aziz3
1Internal Medicine, INTEGRIS Health Baptist Medical Center, Oklahoma City, USA.
Cureus
|June 18, 2025
概括
住院治疗胃衰竭 (GP) 的男性患者面临更糟糕的结果,包括更高的死亡率和重症监护室 (ICU) 住院率,尽管女性住院时间更长,费用更高. 这凸显了针对男性特异性治疗策略的需求.
科学领域:
- 胃肠病学 胃肠病学
- 临床结果研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 胃衰竭 (GP) 是一种慢性疾病,其特点是胃排空延迟而没有身体障碍,不成比例地影响女性.
- 了解全科医生住院结果的性别差异对于优化患者护理至关重要.
研究的目的:
- 为了比较男性和女性患者之间的临床结果住院的胃衰竭 (GP).
- 确定一般医生患者不良住院结果的特定性别预测因子.
主要方法:
- 对全国住院患者样本 (NIS) 数据库 (2020-2022) 进行了回顾性分析.
- 国际疾病分类,第十版修订版 (ICD-10) 代码识别了与GP住院的成年患者.
- 多变量逻辑回归分析了性别之间的停留时间 (LOS),住院费用,败血症,急性功能衰竭 (ARF),休克,重症监护室 (ICU) 住院和全因住院死亡率的差异.
主要成果:
- 男人表现出更高的共发病率,如糖尿病 (DM1,DM2),充血性心力衰竭 (CHF),和慢性病 (CKD).
- 女性的LOS显著更长 (+0.88天),住院费用更高 (+9,129.4美元).
- 与女性相比,男性的败血症 (aOR:0.60),ARF (aOR:0.48),ICU入院 (aOR:0.73) 和住院死亡率 (aOR:0.15) 的调整几率显著更高.
结论:
- 虽然女性更频繁地住院治疗GP,男性体验较差的住院结果,包括更高的死亡率和发病率.
- 男男性GP患者需要更积极的管理来缓解不良后果.
- 调查结果强调了性别特定方法在管理胃衰竭住院治疗中的重要性.
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