Holmes Julia S, Kozak Lola Jean, Owings Maria F
National Center for Health Statistics, Hyattsville, Maryland, USA.
Health Aff (Millwood). 2007 Jan-Feb;26(1):169-77. doi: 10.1377/hlthaff.26.1.169.
This study used data from the National Hospital Discharge Survey to examine sex- and age-specific trends in use and in-hospital mortality associated with coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) among adults age forty-five and older during 1990-2004. Although use rates for PCI increased 58 percent over the study period, CABG use rates declined. In-hospital death rates declined or stayed the same even though comorbidities increased for patients who received the procedures. PCI and CABG use rates for men were at least twice those for women, although women generally had more comorbidities and higher in-hospital death rates.
本研究使用了国家医院出院调查的数据,以考察1990年至2004年期间45岁及以上成年人中与冠状动脉旁路移植术(CABG)和经皮冠状动脉介入治疗(PCI)相关的使用情况及院内死亡率的性别和年龄特异性趋势。尽管在研究期间PCI的使用率增加了58%,但CABG的使用率却下降了。尽管接受这些手术的患者合并症有所增加,但院内死亡率却下降或保持不变。男性的PCI和CABG使用率至少是女性的两倍,尽管女性通常合并症更多且院内死亡率更高。