出生性心脏病住院的趋势:近50年的纵向数据和细分回归揭示了什么
Salma Pardhan1,2, Hanna Gyllensten1, Philip Moons2,3,4
1Institute of Health and Care Sciences Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden.
Journal of the American Heart Association
|December 23, 2025
概括
儿童先天性心脏病 (CHD) 的医疗保健使用量随着时间的推移而下降,而不是像以前所认为的那样增加. 通过断点识别的关键护理转变会影响患有心血管疾病的儿童住院的趋势.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 优化对先天性心脏病 (CHD) 的长期医疗保健需要了解利用趋势.
- 线性趋势假设可能不准确地代表儿科慢性心血管疾病的医疗保健使用,这是由于医疗保健的潜在非线性转变.
研究的目的:
- 确定儿科先天性心脏病 (CHD) 住院趋势中的显著非线性和断点.
- 挑战儿童慢性心血管疾病中医疗保健利用率增加的假设.
主要方法:
- 使用瑞典国家登记册进行的回顾性队列研究.
- 细分回归分析从婴儿期到青春期的儿科CHD医疗保健利用情况.
- 确定趋势断点并与线性回归模型进行比较.
主要成果:
- 儿科心血管疾病的医疗保健利用率显示,从婴儿期到青春期的医疗保健使用率逐渐下降.
- 在所有CHD复杂度级别中,利用率随着时间的推移而下降.
- 1978年,1985年,1992年和2003年的重大断点与心血管疾病治疗的进步有关.
结论:
- 这些发现与随着时间的推移,儿童心脏病的医疗保健使用增加的假设相矛盾.
- 鉴定的断点需要在跨越不同时期的慢性心脏病护理的比较分析中保持谨慎.
- 了解这些非线性趋势对于准确的医疗保健规划和提供儿科心血管疾病至关重要.
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