脑卒中史是否会影响非水上胃肠道出血的结果?
Anupam Gupta1,2, Anudeep Surendranath3
1Surgery, Bangalore Medical College, Bangalore, IND.
Cureus
|August 4, 2025
概括
有史以来缺血性中风的患者经历上部胃肠道出血,面临着显著更高的住院死亡率和更长的住院时间. 这一发现突出了中风史作为管理胃肠道出血的关键风险因素.
科学领域:
- 胃肠病学 胃肠病学
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 非的上部胃肠道 (GI) 出血是一种严重的医疗状况.
- 患有缺血性中风病史的患者代表了一个潜在的复杂医疗需求的脆弱人群.
研究的目的:
- 为了研究患者的临床结果与非的上部肠道出血,谁有先前史的缺血性中风.
- 确定是否有史以来的缺血性中风是该患者群体不良结果的独立风险因素.
主要方法:
- 利用了2021年国家住院患者样本数据库.
- 鉴定了259,025名患有非的上部肠道出血的患者,其中1,485人有史以来的缺血性中风.
- 使用Stata版本18分析了住院死亡率,住院时间,住院费用和出院情况.
主要成果:
- 在0.57%的患者中,有史以来缺血性中风的患者有非的上部胃肠道出血.
- 以前患有缺血性中风的患者年龄较大,并患有更多的并发症.
- 缺血性中风病史与增加的住院死亡率 (OR 7.51),更长的住院时间 (平均每月) 显著相关. 5.68天),并且更有可能出院到熟练护理机构 (OR 3.30).
结论:
- 之前的缺血性中风是患有非的上部胃肠道出血的患者不良临床结果的独立风险因素.
- 这一患者群通常表现为晚年和多种并发症.
- 研究结果表明,需要针对这些高风险患者制定有针对性的管理策略和资源配置.
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