急性心肌梗死后的康复效果
Efficiency of rehabilitation after acute myocardial infarction.
作者信息
Chen Hui-Ming, Liu Chih-Kuang, Chen Hui-Wen, Shia Ben-Chang, Chen Mingchih, Chung Chi-Hsiang
机构信息
Department of Nursing, Cardinal Tien College of Healthcare & Management, Taipei, Taiwan.
Department of Graduate Institute of Business Administration, Fu Jen Catholic University, Taipei, Taiwan; Department of Medicine, Fu Jen Catholic University, Taipei, Taiwan; Department of Urology, Taipei City Hospital (Zhong-Xing Branch), Taipei, Taiwan.
出版信息
Kaohsiung J Med Sci. 2015 Jul;31(7):351-7. doi: 10.1016/j.kjms.2015.04.012. Epub 2015 Jun 16.
The purpose of this study was to evaluate the recurrence rate and medical expenses of acute myocardial infarction (AMI) following inpatient cardiac rehabilitation. A total of 834 patients with AMI were divided into Group 1 (with inpatient cardiac rehabilitation) and Group 2 (without inpatient cardiac rehabilitation). The results showed that Group 1 had a lower AMI recurrence rate (a 0.640-fold lower hazards ratio) than Group 2 [95% confidence interval (CI) = 0.197-1.863; p = 0.004]. Compared with the medical costs of Group 2, Group 1 also had lower medical costs (a 0.947-fold lower hazards ratio) than Group 2 (95% CI = 0.934-0.981; p = 0.042). These findings have implications for the decision making of clinicians and health policymakers attempting to provide adequate services for patients with AMI.
本研究的目的是评估住院心脏康复后急性心肌梗死（AMI）的复发率和医疗费用。总共834例AMI患者被分为第1组（接受住院心脏康复）和第2组（未接受住院心脏康复）。结果显示，第1组的AMI复发率低于第2组（风险比低0.640倍）[95%置信区间（CI）=0.197 - 1.863；p = 0.004]。与第2组的医疗费用相比，第1组的医疗费用也低于第2组（风险比低0.947倍）（95%CI = 0.934 - 0.981；p = 0.042）。这些发现对试图为AMI患者提供充分服务的临床医生和卫生政策制定者的决策具有启示意义。
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