与长期LVAD患者的门诊息护理利用相关的因素
Marc El Khoury1, Richa Gupta2, Patrick Creechan1
1Department of Medicine, MedStar Washington Hospital Center, Washington, DC.
Journal of cardiac failure
|December 12, 2025
概括
只有三分之一的长期LVAD患者接受了门诊息治疗 (OPC). 增加的住院病例与较高的OPC使用有关,而HVAD患者的几率较低. 积极地整合OPC可以改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊息治疗 (OPC) 改善了心力衰竭患者的生活质量.
- 在长期LVAD (LT-LVAD) 患者中,OPC的利用率没有得到很好的描述.
- 本研究研究了OPC在一个大型LT-LVAD队列中的使用和结果.
研究的目的:
- 在LT-LVAD患者中描述OPC利用率.
- 在这个人群中确定与接受OPC相关的因素.
- 了解OPC对患者结果的影响.
主要方法:
- 对233名LT-LVAD患者 (2017-2021年植入) 的回顾性队列研究.
- 多变量后勤回归分析了人口统计,临床因素,社会决定因素 (ADI) 和OPC收件之间的关联.
- 在接受OPC和不接受OPC的患者之间比较结果.
主要成果:
- 34.3%的LT-LVAD患者接受了OPC.
- 每次额外住院都会增加OPC的几率 (OR1.07).
- 与HeartMate3 (OR 0.32) 相比,HVAD患者接受OPC的可能性较小.
- 在面积剥夺指数和OPC收款 (OR 0.50) 之间没有发现显著的关联.
结论:
- 不到一半的LT-LVAD患者使用OPC,这表明存在重大未满足的需求.
- 更高的住院率与增加OPC可能性相关.
- 接受HVAD设备的OPC使用率较低,这表明需要针对性的干预措施.
- 建议将OPC主动整合到常规的LT-LVAD管理中,以提高以患者为中心的结果.
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