在COVID-19期间住院和门诊中风病例的变化:基于来自日本242家急症医院的索赔数据的差异分析
Kazuhiro Abe1,2,3, Shota Shibata4,5, Atsushi Miyawaki2,6
1Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
BMJ public health
|October 2, 2025
概括
在COVID-19期间,日本的整体中风入院人数保持稳定,缺血性中风住院人数减少,而门诊病例增加. 尽管资源有限,中风护理得到了适当的管理.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于原血栓和炎症影响,COVID-19与中风风险增加有关.
- 研究指出,在大流行期间,中风住院减少,可能是由于门诊随访.
- 在COVID-19期间调查住院和门诊中风病例的变化至关重要.
研究的目的:
- 分析COVID-19大流行对日本中风病例的影响.
- 为了比较流行病前和期间在住院和门诊的中风入院人数.
- 评估中风类型,死亡率和治疗率的变化.
主要方法:
- 在日本242家急症医院的索赔数据中使用差异差异设计.
- 从疫情前时期 (2015-2019) 的数据与疫情期间 (2020) 的数据进行了比较.
- 该研究检查了缺血性中风,脑内出血和脑下出血的入院情况,以及死亡率和治疗率.
主要成果:
- 在大流行期间,没有观察到整体中风病例的统计学上显著变化.
- 缺血性中风住院减少 (IRR 0.83),而门诊病例呈现上升趋势 (IRR 1.06).
- 缺血性中风的机械血栓切除率下降了 (0.60),大多数类型的中风的停留时间减少了.
结论:
- 在2020年,日本的整体中风病例在住院和门诊情况下保持稳定.
- 在疫情期间,尽管资源有限,但急性中风护理得到了适当的管理.
- 调查结果强调了在公共卫生危机期间监测中风护理的住院和门诊趋势的重要性.
更多相关视频
相关概念视频
Regulation of Stroke Volume
4.7K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
4.7K
Acute Coronary Syndrome IV: Interprofessional Care
220
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
220
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
3.1K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
3.1K


