在基于人口的加拿大队列中,下静脉膜过器检索的预测因素
Serena Ip1, Konrad Salata2, Jin Luo3
1Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
概括
只有不到40%的下腔静脉 (IVC) 过器被检索出来,大部分的检索都是在一年内完成的. 恢复的预测因素包括教学医院安置和最近的日期,而年龄较大和并发症降低了恢复的可能性.
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
- 流行病学 流行病学
背景情况:
- 下腔静脉 (IVC) 过器用于预防肺栓塞.
- 对于IVC过器检索的预测因素在当代队列中仍然不完全理解.
研究的目的:
- 为了确定影响北美人口中IVC过器检索的因素.
主要方法:
- 来自加拿大安大略省 (2010-2019) 的行政卫生数据的回顾性分析.
- 使用医生服务费代码识别成人IVC过器放置.
- 计算累计过器检索发生率与死亡的竞争风险分析.
- 多变量分分布危险回归以评估共变量关联.
主要成果:
- 共有5617名患者接受了IVC过器;检索概率停滞在40%以下.
- 大多数检索 (96%) 发生在过器放置一年之内.
- 在教学医院和2016年之后的过器放置增加了检索可能性.
- 高龄和更高的并发病率与恢复率的降低有关.
结论:
- 不到40%的IVC过器被检索出来,主要是在插入后的第一年内.
- 为了最佳的IVC过器管理,需要加强后续服务的协调和标准化.
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