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延迟诊断有助于增加血栓性负担,并独立预测血栓性抗脂综合征的严重器官损伤
Diogo Santos1, Ana Mafalda Abrantes1,2,3, Filipa M Costa1,4,5
1Faculdade de Medicina, Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisbon, Portugal.
Lupus
|November 17, 2025
概括
血栓抗脂综合征 (APS) 的延迟诊断导致更多的血栓形成,是严重器官损伤的独立预测因素. 早期诊断对于更好的患者结果至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 血液学 血液学 血液学
- 临床医学 临床医学
背景情况:
- 抗脂综合征 (APS) 是一种原血栓性自身免疫性疾病.
- 血栓性APS涉及反复发生的血块,导致严重的器官损伤.
- 诊断延迟对血栓性APS损伤累积的影响需要进一步研究.
研究的目的:
- 为了调查诊断时间和APS血栓性患者的损伤累积之间的关系.
- 确定诊断和治疗延迟的风险因素.
- 为了确定损伤和严重损伤的预测因素在血栓性APS.
主要方法:
- 对252名血栓性APS患者 (悉尼标准) 的回顾性队列研究.
- 诊断的时间定义为从第一次血栓形成到诊断 (≥12个月) 的时间.
- 使用APS (DIAPS) 的损害指数评估损害;用于分析的Cox回归.
主要成果:
- 53.6%的患者经历了诊断延迟 (≥12个月).
- 诊断延迟与血栓事件增加,血栓复发和抗凝延迟相关.
- 诊断延迟独立预测严重的器官损伤 (aHR 3.18,95% CI 1.24-8.12).
结论:
- 血栓性APS的诊断延迟与更高的血栓性事件负担有关.
- 延迟诊断是血栓性APS中严重器官损伤的独立预测因素.
- 及时诊断对于减轻APS患者严重后果至关重要.
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