估计心肺呼吸能力与中风幸存者的死亡风险之间的关联:基于人口的研究
Meiqi Liu1, Weilu Wang1, Ying Li1
1Department of Neurology, Jing'an District Central Hospital of Shanghai, Shanghai 200040, China.
概括
估计心肺呼吸能力 (eCRF) 预测了中风幸存者的长期死亡率. 较高的eCRF与显著降低全因和心血管疾病 (CVD) 死亡率有关,提供了一个简单的预后工具.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 心血管健康 (CRF) 与中风风险降低有关.
- 在中风幸存者中,CRF的预后价值尚未得到充分确立.
- 估计的CRF (eCRF) 可以预测中风幸存者的结果.
研究的目的:
- 研究美国中风幸存者的eCRF和长期死亡率之间的关联.
- 为了确定eCRF是否可以作为中风幸存者的预后标记.
主要方法:
- 从国家健康和营养检查调查 (1999-2018) 中,1,306名中风幸存者.
- 使用非练习算法计算的eCRF.
- 考克斯比例危险回归模型用于评估死亡风险.
主要成果:
- 较高的eCRF三位数与明显较低的全因和心血管疾病 (CVD) 死亡率有关.
- 在eCRF和死亡率之间观察到非线性关系,转折点约为6.1METs.
- 电子CRF与心血管疾病死亡率之间的关联在女性中更为强烈.
结论:
- 在美国中风幸存者中,eCRF与全因和心血管疾病死亡率非线性相关.
- eCRF是一种简单方便的参数,用于评估中风幸存者的长期结果.
- 较高的eCRF可能表明中风后的预后更好.
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