居住在农村地区的患者被转移用于机械血栓切除术,接受了减少了基于导管的治疗
Amanda L Jagolino-Cole1, Deepa Dongarwar1, Sushanth Aroor1
1McGovern Medical School at The University of Texas Health Science Center at Houston Houston TX.
Stroke (Hoboken, N.J.)
|January 23, 2026
概括
患有急性缺血性中风的农村患者在转移后接受内血管治疗的可能性降低了15%,尽管转移延迟类似. 即使考虑到健康的社会决定因素,这种差异仍然存在.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 美国近20%的人口生活在农村地区.
- 血管内治疗显著改善了急性缺血性中风 (AIS) 随着大血管封闭的结果.
- 关于农村人口中AIS内血管治疗的利用和结果的数据有限.
研究的目的:
- 调查内血管治疗在农村与非农村人口中AIS的透率和结果.
- 分析健康的社会决定因素 (SDOH) 对农村中风患者获得内血管治疗的影响.
主要方法:
- 使用了与SDOH数据集成的Get With The Guidelines中风注册表 (2016-2019).
- 已确定患有AIS/暂时性缺血性发作的患者转移用于血栓切除术评估.
- 采用多变量逻辑回归来评估接受内血管治疗的可能性,根据中风严重程度,年龄,门诊状态和SDOH进行调整.
主要成果:
- 在包括的24,620名患者中,5.1%居住在农村地区.
- 农村患者面临的不太有利的SDOH (教育,收入,房屋所有权,贫困,失业).
- 农村患者接受内血管治疗的可能性降低了15% (aOR,0.85),尽管转移延迟类似.
结论:
- 农村患有AIS的患者在转移后不太可能接受内血管治疗.
- 这种差异甚至在控制SDOH和转移延迟时也被观察到.
- 调查结果强调了在先进的中风护理获取方面可能存在的城乡差异.
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