在全国大型住院患者样本中对接受CRAO治疗的患者进行二次中风评估
Sahil Doshi1, Jay B Bisen1, Hanaina K Bains1
1Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Stroke and vascular neurology
|August 22, 2025
概括
患有视网膜中枢动脉闭塞 (CRAO) 的患者在2021年之前接受过不充分的中风评估. 更高的社会经济地位与CRAO患者更全面的二次中风预防评估有关.
科学领域:
- 眼科 眼科
- 神经学
- 血管医学
背景情况:
- 中央视网膜动脉封闭 (CRAO) 与脑血管缺血有关.
- 2021年美国心脏协会 (AHA) 的声明建议对CRAO患者进行中风评估.
- 在2021年之前的CRAO中风评估率尚不清楚.
研究的目的:
- 在2021年AHA指南之前诊断出CRAO的患者中评估全国性中风率.
- 确定CRAO患者中风评估的模式和预测因素.
主要方法:
- 从国家住院患者样本对住院患者的回顾性分析 (2016-2021年).
- 测量心声图,头血管成像和动脉活检的完成率.
- 使用集群分析来描述患者群体及其评估模式.
主要成果:
- 在9615名CRAO入院患者中,只有0. 3%接受了动脉超声检查,10%接受了心声回声检查,8. 5%接受了脑血管成像检查.
- 心图 (10%) 和动脉活检 (6. 4%) 是最常见的评估.
- 聚类发现了不同的群体:年长的女性 (通常在医疗保险) 接受活检,年轻的男性接受心声图/成像并出院.
- 更高的收入,女性性别,转移状态,并发性脑中风,动脉样硬化和尼古丁依赖预测了评估率的增加.
结论:
- 在2021年AHA指南之前,CRAO患者的全国性中风评估率很低.
- 具有较高社会经济地位的患者更有可能接受全面的中风评估.
- 这些发现突显了CRAO的二次中风预防差异.
关键词:
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