时间趋势和实践模式与利用基于导管的干预用于肺栓塞的实践模式
Nathan W Watson1,2, Michael R Jaff3, Brett J Carroll2,4
1Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Journal of the Society for Cardiovascular Angiography & Interventions
|September 29, 2025
概括
肺栓塞 (PE) 的导管干预 (CBI) 从2018年到2023年显著增加. 然而,在不同患者群体和医院类型之间,CBI的获取和结果有所不同.
科学领域:
- 心脏病学 心脏病学
- 干预性放射学 干预性放射学
- 公共卫生 公共卫生
背景情况:
- 肺栓塞 (PE) 是致病率和死亡率的重要原因.
- 导管干预 (CBI) 越来越多地用于急性PE治疗.
- 了解老年患者中CBI利用的趋势至关重要.
研究的目的:
- 调查住院PE患者使用CBI的国家趋势.
- 检查CBI使用中的实践模式和人口差异.
- 为了确定与CBI使用和老年人的结果相关的因素.
主要方法:
- 医疗保险费用服务受益人与PE住院的分析 (2018年6月 - 2023年9月).
- 结果分析包括附加后续数据的子集 (2018年6月至2021年12月).
- 利用后勤回归来确定CBI使用和相关并发症的预测因素.
主要成果:
- 确定了超过31.3万名PE住院患者;9.12%接受了CBI (导管血栓溶解或机械血栓切除术).
- 在机械血栓切除术的推动下,CBI利用率从2018年的5.92%上升到2023年的14.1%.
- 在教学医院和男性中,CBI更常见,在较小的医院和黑人患者中更少. 年龄较大,黑人种族和陷入困境的社区与更高的并发症率相关.
结论:
- 对于PE的CBI使用量有所增加,但仍然分布不均.
- 在获得先进的PE疗法和相关结果方面存在重大差异.
- 需要进一步的研究来解决CBI利用和PE管理结果的不平等问题.
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