康复有助于降低外周动脉疾病患者的再入院率:一项回顾性观察性研究

IF 3.9 3区 医学 Q1 REHABILITATION
Keisuke Suzuki , Tomohiko Kamo , Ryo Momosaki , Akira Kimura , Takayasu Koike , Shinichi Watanabe , Takashi Kondo
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引用次数: 0

摘要

背景康复等非药物干预措施对治疗外周动脉疾病(PAD)至关重要。尽管多项研究表明,康复在改善PAD的功能预后方面是有效的,但目前没有足够的证据表明其对再入院率的影响。目的研究康复对PAD患者再入院率的影响。方法根据既往诊断,对JMDC医院数据库中2014年至2020年间因PAD住院的两组年龄≥20岁的患者的数据进行回顾性分析。参与者根据他们是否在医院接受任何形式的康复治疗进行了划分。主要结果是初次入院后30、60、90和180天的再次入院率。使用一对一倾向评分匹配来比较康复组和非康复组的再入院率。结果我们纳入了13453名PAD患者,其中2701对(5402名受试者)在康复组和非康复组中进行了配对。康复组参与者在30、60、90和180天时的死亡率和再入院率显著降低。两组的优势比(95%置信区间)分别为0.79(0.69-0.91;30天)、0.81(0.71-0.91;60天)、0.78(0.69-0.88;90天)和0.79(0.71-0.88;180天),一项全国性的研究发现,PAD患者住院期间的康复治疗与较低的再入院率和死亡率有关,并支持将其纳入标准PAD治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rehabilitation contributes to lower readmission rates for individuals with peripheral arterial disease: A retrospective observational study

Background

Non-pharmacological interventions, such as rehabilitation, are crucial for the treatment of people with peripheral arterial disease (PAD). Although several studies have shown rehabilitation is effective in improving the functional prognosis of PAD, there is currently insufficient evidence regarding its effect on readmission rates.

Objectives

To examine the impact of rehabilitation on readmission rates for people with PAD.

Methods

A retrospective analysis of the JMDC hospital database was performed on data from two groups of people aged ≥20 years who were hospitalized between 2014 and 2020 with PAD, as based on a previous diagnosis. Participants were divided according to whether they did, or did not, receive any form of rehabilitation as part of their treatment in hospital. The primary outcome was readmission rates at 30, 60, 90, and 180 days after initial admission. A one-to-one propensity score matching was used to compare readmission rates between rehabilitation and non-rehabilitation groups.

Results

We included 13,453 people with PAD, of whom 2701 pairs (5402 subjects) were selected after being matched in the rehabilitation and non-rehabilitation groups. The rehabilitation group participants had significantly lower mortality and readmission rates at 30, 60, 90, and 180 days. The odds ratios (95% confidence interval) for both groups were 0.79 (0.69–0.91; 30 days), 0.81 (0.71–0.91; 60 days), 0.78 (0.69–0.88; 90 days), and 0.79 (0.71–0.88; 180 days).

Conclusions

This large, nationwide study found that rehabilitation treatment during hospitalization was associated with lower readmission rates and mortality for people following hospitalization with PAD and supports its inclusion as a standard PAD treatment.

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来源期刊
CiteScore
7.80
自引率
4.30%
发文量
136
审稿时长
34 days
期刊介绍: Annals of Physical and Rehabilitation Medicine covers all areas of Rehabilitation and Physical Medicine; such as: methods of evaluation of motor, sensory, cognitive and visceral impairments; acute and chronic musculoskeletal disorders and pain; disabilities in adult and children ; processes of rehabilitation in orthopaedic, rhumatological, neurological, cardiovascular, pulmonary and urological diseases.
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