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急性冠脉综合征出院时贫血与生存的关系。

Relation of anemia at discharge to survival after acute coronary syndromes.

作者信息

Vaglio Joseph, Safley David M, Rahman Mohamed, Kosiborod Mikhail, Jones Philip, Thompson Randall, Krumholz Harlan M, Spertus John A

机构信息

Mid America Heart Institute of Saint Luke's Hospital, Missouri, USA.

出版信息

Am J Cardiol. 2005 Aug 15;96(4):496-9. doi: 10.1016/j.amjcard.2005.04.008.

DOI:10.1016/j.amjcard.2005.04.008
PMID:16098299
Abstract

Two-year survival rate was assessed among 1,038 patients who had acute coronary syndromes that were classified by discharge hematocrit values as normal (>39%, n = 360, 34.7%), mildly anemic (33.1% to 39%, n = 430, 41.4%), or moderately/severely anemic (< or = 33%, n = 248, 23.9%). Worsening anemia was associated with a decreased 2-year survival rate (normal 95.8%, mild anemia 91.2%, moderate/severe anemia 81.5%, p < 0.001). In multivariable analyses, adjusted hazard ratios for all-cause mortality were 1.57 (95% confidence interval 0.82 to 2.96) for mild anemia and 2.46 (95% confidence interval 1.25 to 4.85) for moderate/severe anemia.

摘要

对1038例急性冠脉综合征患者的两年生存率进行了评估,这些患者根据出院时的血细胞比容值分为正常(>39%,n = 360,34.7%)、轻度贫血(33.1%至39%,n = 430,41.4%)或中度/重度贫血(≤33%,n = 248,23.9%)。贫血加重与两年生存率降低相关(正常为95.8%,轻度贫血为91.2%,中度/重度贫血为81.5%,p < 0.001)。在多变量分析中,轻度贫血的全因死亡率调整风险比为1.57(95%置信区间0.82至2.96),中度/重度贫血为2.46(95%置信区间1.25至4.85)。

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