初级心脏病治疗中的老年心力衰竭患者与心脏病治疗 - - 一项基于登记的研究
Eric Chen1, Mozhu Ding2, Karolina Szummer3
1Karolinska Institutet Department of Neurobiology Care Sciences and Society, Huddinge, Sweden eric.chen@ki.se.
概括
初级保健管理大多数老年心力衰竭 (HF) 患者,这些患者年龄较大,女性,社会经济地位较低. 与心脏病治疗患者相比,这些患者接受的指导方针推的药物治疗较少.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 在初级保健 (PC) 和心脏病治疗 (CC) 中,心力衰竭 (HF) 的指导方针推的药物治疗遵守率较低.
- 了解专门在PC中管理的HF患者群体至关重要.
研究的目的:
- 为了比较社会人口统计学因素,并发症,医疗保健利用率和老年HF患者的药物处方,仅在PC治疗中治疗的患者与也接受CC治疗的患者相比.
- 确定与HF专属PC管理相关的特征.
主要方法:
- 一项基于登记的研究,利用来自瑞典斯德哥尔摩的真实行政数据.
- 纳入所有年龄≥60岁且在2022年12月31日被诊断为HF的个人.
- 根据过去五年内与心脏病专家的联系,将其分类为专属PC或PC/CC联合管理.
主要成果:
- 在33,872名老年HF患者中,50.4%的患者仅在PC.中进行管理.
- PC患者年龄较大,女性更频繁,社会经济地位较低,并发病率较低,HF住院率较低.
- 独家PC管理与居住在养老院和患有痴呆症密切相关.
结论:
- 初级保健管理大多数心力衰竭的老年人.
- 在PC中,患者的特征,如晚年和认知障碍,可能会导致药物使用和药物坚持的观察差异.
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