Department of Medicine, Division of Cardiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Scripps Clinic, La Jolla, CA, USA.
J Comp Eff Res. 2021 Jan;10(1):29-37. doi: 10.2217/cer-2020-0198. Epub 2020 Nov 11.
This study evaluated how the presence of right-sided heart disease (RSHD), other valve disease (OVD) and heart failure (HF) impacts healthcare utilization in patients with tricuspid valve disease (tricuspid regurgitation [TR]). Of the 33,686 patients with TR: 6618 (19.6%) had TR-only; 8952 (26.6%) had TR with HF; 12,367 (36.7%) had TR with OVD but no HF; and 5749 (17.1%) had TR with RSHD only. The presence of RSHD, OVD or HF in patients with TR was independently associated with increased annualized hospitalizations, hospital days and costs relative to patients with TR alone. All three co-morbidities were associated with increased healthcare utilization, with HF showing the greatest impact across all measures.
本研究评估了右心疾病（RSHD）、其他瓣膜疾病（OVD）和心力衰竭（HF）的存在如何影响三尖瓣疾病（三尖瓣反流[TR]）患者的医疗保健利用。在 33686 例 TR 患者中：6618 例（19.6%）为单纯 TR；8952 例（26.6%）为合并 HF 的 TR；12367 例（36.7%）为合并 OVD 但无 HF 的 TR；5749 例（17.1%）为单纯 RSHD 的 TR。TR 患者存在 RSHD、OVD 或 HF 与单独 TR 患者相比，年度住院次数、住院天数和费用均呈独立增加趋势。所有三种合并症均与医疗保健利用增加相关，HF 在所有指标中影响最大。
