Palak Patel, Ivan Richard, Giuseppe Filice, Ivan Nikiforov, Priyaranjan Kata, Anish Kumar Kanukuntla, Arthur Okere, Christopher S Hollenbeak, Pramil Cheriyath
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引用次数: 0
摘要
背景：美国有 600 多万人患有心力衰竭，但支持使用心导管检查的证据却很有限。使用心导管的益处主要还是专家的意见。本研究旨在评估因心力衰竭入院的老年患者接受心导管检查的益处和风险：这是一项回顾性研究，使用的数据来自全国住院病人抽样调查，包括 2008 年至 2016 年期间因心力衰竭住院的 65 岁及以上老年人。分析的结果包括院内死亡率、住院总费用和住院时间：结果：在控制协变量后，发现心导管检查与死亡率有保护关系（OR 0.87，95% CI 0.833-0.912，P P 结论：心导管检查与死亡率有保护关系：对于 65 岁或以上的心力衰竭患者，心导管检查与院内死亡率降低、住院时间延长和总费用增加有关。
Cardiac Catheterization and Outcomes for Elderly Patients Hospitalized With Heart Failure.
Background: Heart failure affects over 6 million people in the United States (US) with limited evidence to support the use of cardiac catheterization. The benefit of its use remains mostly as expert opinion. This study intends to assess the benefits and risks of cardiac catheterization in elderly patients admitted for heart failure.
Methods: This was a retrospective study using data from the National Inpatient Sample, including admissions 65 years and older hospitalized for heart failure, between 2008 and 2016. The outcomes analyzed were in-hospital mortality, total hospital costs, and length of stay.
Results: After controlling for covariates, cardiac catheterization was found to have a protective association with mortality (OR 0.87, 95% CI 0.833-0.912, P < .0001), an increased hospital length of stay by 2.88 days (95% CI: 2.84-2.92 days, P < .0001) and approximately $16 255 increase in cost.
Conclusions: Cardiac catheterization was associated with decreased in-hospital mortality, longer length of stay and higher total costs in admissions with heart failure aged 65 years or older.
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