在心房移除后停留时间的种族差异
Waseem Nosair1,2, Yasmina Sirgi1, Evan Czulada1
1School of Medicine, Georgetown University, Washington, District of Columbia, USA.
Pacing and clinical electrophysiology : PACE
|August 21, 2025
概括
非西班牙裔黑人患者因心房动而经历了更长的住院时间. 除了并发症之外的因素,如并发症负担和健康的社会决定因素,有助于这些差异.
科学领域:
- 心脏病学
- 健康差异研究
- 医疗服务研究
背景情况:
- 已知用于心房动的导管切除 (CA) 的种族和性别差异.
- 关于伴随性疾病负担和CA后护理质量的种族和性别差异的了解较少.
研究的目的:
- 在AF的CA后影响延长停留时间的患者和程序因素的种族和性别差异.
- 调查种族和性别对LOS对AF的影响.
主要方法:
- 从单一中心的NCDR注册中对3345名为AF接受CA的患者进行回顾性队列研究 (2018-2024年).
- 分析重点是非西班牙裔白人 (NHW) 和非西班牙裔黑人 (NHB) 患者.
- 多变量回归和因果调解分析评估了种族,性别,并发症和长期LOS之间的关联.
主要成果:
- 与NHW患者相比,NHB患者更年轻,BMI更高,并发症负担更大,LOS和并发症更长时间.
- 女性患者年龄较大,患有更高的空心肌梗塞,过渡性缺血性发作和慢性肺部疾病.
- NHB种族 (aOR 1.90) 和程序并发症 (aOR 156) 独立地与延长的LOS相关;性别没有.
- 长期LOS的种族相关差异部分是由并发症负担和肥胖引起的,而不是并发症.
结论:
- 长期的LOS在接受CA治疗的NHB患者中更为常见.
- 更高的并发症负担和肥胖,而不是并发症,部分解释了NHB患者的LOS增加.
- 解决伴随性疾病管理和社会文化差异至关重要,以减少AF后的长期住院.
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