肺动脉高压终末期护理的定位

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

CJC Open Pub Date : 2025-06-01 DOI:10.1016/j.cjco.2025.03.026

Ramzi Ibrahim MD , Adam Habib MD , April Olson MD , Farah Shrourou , Hoang Nhat Pham MD , Mahmoud Abdelnabi MBBCh, MSc , Maryam Emami Neyestanak PhD , Sabrina Soin DO , See-Wei Low MD , Bhupinder Natt MD , Mamas A. Mamas BMBCh, MA, DPhil, FRCP , Timothy Barry BMBCh, BAO , Chadi Ayoub MBBS, PhD , Reza Arsanjani MD , Franz P. Rischard MD , Kwan Lee MD

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引用次数: 0

摘要

美国个人的死亡地点受到社会因素的影响。肺动脉高压（PH）是一种罕见的疾病，对发病率和死亡率有重大影响。我们评估了美国人口统计学对PH死亡地点的模式和影响。方法从2005年到2020年，我们的研究通过CDC存储库确定ph相关死亡。2019年的患者人口统计数据直接从疾病预防控制中心查询。死亡地点分为4组，分别是：住院；门诊和/或急诊室（ER）；回家;以及临终关怀和/或护理机构。使用线性回归模型来评估这些地点的死亡比例趋势。多变量logistic回归模型检验了人口统计学对每个地点发生死亡可能性的影响。结果2005 - 2020年期间，家庭死亡比例上升(β = 0.006, P <；0.001)和临终关怀和/或护理机构(β = 0.005, P <；0.001)。在家中或临终关怀和/或护理机构中死亡的几率随着年龄的增长而增加(P <；0.001)。男性死者比女性死者更有可能在门诊和/或急诊室死亡（比值比[or] 1.22, P = 0.047）和在家死亡（比值比[or] 1.16, P = 0.005）。与白人死者相比，黑人死者在住院患者中的死亡几率更高(OR 1.99, P <；0.001)和门诊和/或急诊室（or 1.38, P = 0.007）设置，但在家中死亡的几率较低(or 0.63, P <；0.001)或临终关怀和/或护理机构(or 0.46, P <；0.001)。结论sour分析显示，近年来PH患者的死亡地点有显著差异，受人口统计学因素的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Location of Terminal Care in Pulmonary Hypertension

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Location of Terminal Care in Pulmonary Hypertension

Background

Death locations for individuals in the US is influenced by social factors. Pulmonary hypertension (PH) is an uncommon condition, with a substantial impact on morbidity and mortality. We evaluated the patterns in and impact of demographics on PH death locations in the US.

Methods

From 2005 to 2020, our study identified PH-related deaths through the CDC repository. Patient-level demographic data for the year 2019 were directly queried from the CDC. Locations of death were categorized into 4 groups, as follows: inpatient; outpatient and/or emergency room (ER); home; and hospice and/or nursing facilities. Linear regression models were used to assess trends in proportion of deaths across these locations. Multivariable logistic regression models examined the influence of demographics on the likelihood of death occurring in each location.

Results

Between 2005 and 2020, a rise occurred in the proportion of deaths at home (β = 0.006, P < 0.001) and in hospice and/or nursing facilities (β = 0.005, P < 0.001). The odds of dying at home or in hospice and/or nursing facilities increased with age (P < 0.001). Male decedents were more likely than female decedents to die in an outpatient and/or ER setting (odds ratio [OR] 1.22, P = 0.047) and at home (OR 1.16, P = 0.005). Compared to White decedents, Black decedents had higher odds of death in the inpatient (OR 1.99, P < 0.001) and the outpatient and/or ER (OR 1.38, P = 0.007) settings, but lower odds of death at home (OR 0.63, P < 0.001) or in hospice and/or nursing facilities (OR 0.46, P < 0.001).