在韩国进行过导管大动脉置换的程序模式,临床结果和成本分析
Junghoon Lee1, Do-Yoon Kang2, Jung-Min Ahn2
1Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea; Department of Cardiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
JACC. Asia
|January 31, 2026
概括
在韩国,过导管大动脉置换 (TAVR) 的使用越来越多,结果也越来越好,主要来自器件的成本很高. 这些国家数据突出显示了TAVRR.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 卫生经济学 卫生经济学
背景情况:
- 关于亚洲的跨导管大动脉置换 (TAVR) 的国家数据有限.
- 了解韩国的TAVR患者个人资料,结果和成本至关重要.
研究的目的:
- 为了评估在韩国接受TAVR的严重大动脉狭窄患者的基线特征.
- 分析TAVR程序模式,临床结果和相关成本.
- 为亚洲人群提供基于国家的TAVR洞察力.
主要方法:
- 利用来自韩国国家医疗保险审查和评估服务登记处的患者级数据 (2015年5月至2021年6月).
- 主要结果:全因死亡率;次要结果:再住院率和程序成本.
- 包括3463名在39个中心接受TAVR的患者.
主要成果:
- TAVR的使用率和中心数量显著增加,低风险患者占41.7%.
- 高的程序成功率 (99.7%),在99.0%的病例中采用了输骨方法.
- 有利的生存率:2.7%的30天死亡率,19.5%的5年死亡率. 平均成本:32,173美元,主要由设备开支 (83.2%) 推动.
结论:
- 在韩国观察到TAVR程序和中心的大幅增长.
- 在TAVR患者中报告了有利的程序和生存结果.
- 显著的医疗费用仍然存在,主要是由于高设备费用.
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