评估多发性硬化症死亡率和临床随访之间的关联
Agata Beczek1, Eskild Morten Landt2, Melinda Magyari3,4,5
1Department of Neurology, Zealand University Hospital, Roskilde, Denmark.
概括
参观专门的多发性硬化症 (MS) 诊所并没有影响死亡率. 提高MS患者的生存率可能取决于护理质量和管理并发症.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 专业多发性硬化症 (MS) 诊所对患者死亡率的影响仍未得到充分研究.
- 了解影响MS生存的因素对于患者护理至关重要.
研究的目的:
- 调查丹麦多发性硬化诊所的专科护理访问与死亡率之间的关联.
- 为了确定是否参加多发性硬化诊所的频率与生存结果相关.
主要方法:
- 利用来自丹麦国家登记处的数据,对9929名患有MS的人群进行了研究.
- 采用卡普兰-梅尔方法和扩展的考克斯回归建模来分析生存数据.
- 评估的死亡风险是基于在10.3年的中位数随访期间访问多发性硬化症诊所的数量.
主要成果:
- 在MS诊所访问人数和死亡率 (HR,0.99-1.02) 之间没有发现统计学意义上的关联.
- 与降低死亡率相关的因素包括女性性别,离婚或已婚/伴侣,以及高等教育.
- 增加的死亡风险与扩大残疾状态量表 (EDSS) 3或更高的得分,缺血性脑血管疾病和肺炎有关.
结论:
- 在多发性硬化诊所的专科护理出席似乎没有影响死亡率.
- 提高多发性硬化症患者的存活率可能需要专注于护理质量和同时存在的疾病 (并发性疾病) 的积极管理.
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