在患有视神经低成形/七眼视垂体失成形的儿童中死亡率
Michael S Salman1, Chelsea A Ruth2, Marina Yogendran3
1Section of Pediatric Neurology, Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, https://ror.org/02gfys938University of Manitoba, Winnipeg, MB, Canada.
概括
视神经过度增生/七视视垂体过度增生 (ONH/SOD) 患者面临的死亡风险明显更高. 对相关并发症的早期认识对于医疗保健提供者来说至关重要,以潜在地减少ONH/SOD死亡.
科学领域:
- 儿科眼科医生 儿科眼科医生
- 内分泌学 在内分泌学.
- 公共卫生研究 公共卫生研究
背景情况:
- 视神经过度增生/七视垂体过度增生 (ONH/SOD) 是一种复杂的先天性疾病.
- 了解与ONH/SOD相关的长期死亡率对于患者管理至关重要.
研究的目的:
- 为了确定ONH/SOD患者的全因死亡率.
- 评估与加拿大曼尼托巴省普通人口相比,ONH/SOD患者的死亡风险.
主要方法:
- 进行了以人口为基础的回顾性病例控制研究.
- 124名ONH/SOD患者与620名对照人进行了匹配,并从诊断 (1990-2019) 到2022年进行了跟踪.
- 考克斯的比例危险模型被用来分析死亡率差异.
主要成果:
- 在ONH/SOD患者中,原始死亡率为每1000人年3.7人,对照组为1.0人.
- 在ONH/SOD患者中,全因死亡风险高3.7倍 (HR=3.7,95%CI=1.3-10.5).
- 在ONH/SOD患者中,死亡年龄的中位数为4.6岁.
结论:
- 被诊断为ONH/SOD的患者死亡风险较高.
- 医疗保健专业人员必须识别与ONH/SOD相关的疾病和并发症,以减轻死亡风险.
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