囊性纤维化患者的心血管疾病相关住院病例:7年美国全国住院患者样本分析
Adnan Bhat1, Anchit Chauhan2, Maulinkumar Patel3
1Department of Hospital Medicine, University of Florida, Gainesville, FL, FL 32611, United States.
Heart & lung : the journal of critical care
|January 9, 2026
概括
患有囊性纤维化 (PwCF) 的人患心血管疾病的入院病例正在增加,观察到更高的住院死亡率和护理机构出院率. 建议为这个不断增长的人口增加心血管查和老年护理.
科学领域:
- 专注于囊性纤维化并发症的心脏病学和肺病学研究.
- 关于慢性疾病中心血管结果的流行病学研究.
背景情况:
- 囊性纤维化 (PwCF) 患者的生存率提高导致新出现的心血管 (CV) 疾病并发症.
- 导致心血管损伤的潜在因素包括全身炎症,缺氧,CF相关糖尿病和内皮功能障碍.
- 有限的国家数据存在PwCF的CV结果.
研究的目的:
- 调查PwCF中初级心脏病入院的时间趋势.
- 为了比较心脏病和非心脏病入院的住院结果,PwCF.
主要方法:
- 在美国国家住院患者样本 (2016-2022) 中对成人PwCF住院病人的回顾性分析.
- 通过心房动,心力衰竭或心肌梗塞定义的初级心脏入院.
- 使用回归模型分析住院死亡率,住院时间,费用和出院安排.
主要成果:
- 心脏病入院占PwCF住院病例的0.43%,患者年龄较大,心血管并发症较多.
- 从2016年到2022年,心脏病入院率每年增加16.4%.
- 没有调整的住院死亡率在心脏病入院时更高,但在调整后,这种差异并不显著.
结论:
- 调查结果表明,心脏病入院的PwCF患者的住院死亡率更高,护理机构的出院率增加.
- 强调需要在PwCF中加强心血管查.
- 强调老年护理考虑PwCF的重要性.
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