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心力衰竭辅助装置支持患者的精神健康障碍与急救资源使用和结局。

Mental health disorders and emergency resource use and outcomes in ventricular assist device supported patients.

机构信息

Division of Cardiology, Cardiac Center, the Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Pennsylvania, PA.

Division of Cardiology, Cardiac Center, the Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Pennsylvania, PA; Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Pennsylvania, PA; Leonard Davis Institute for Healthcare Economics, University of Pennsylvania, Pennsylvania , PA.

出版信息

Am Heart J. 2021 Oct;240:11-15. doi: 10.1016/j.ahj.2021.05.018. Epub 2021 Jun 3.

DOI:10.1016/j.ahj.2021.05.018
PMID:34089695
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8484029/
Abstract

There are limited data describing the prevalence of mental health disorders (MHDOs) in patients with ventricular assist devices (VADs), or associations between MHDOs and resource use or outcomes. We used the Nationwide Emergency Department Sample administrative database to analyze 44,041 ED encounters for VAD-supported adults from 2010 to 2017, to assess the relationship between MHDOs and outcomes in this population. MHDO diagnoses were present for 23% of encounters, and were associated with higher charges and rates of admission, but lower mortality.

摘要

目前关于患有心室辅助装置(VAD)的患者中心理健康障碍(MHDO)的患病率,或 MHDO 与资源利用或结果之间的关系的数据有限。我们使用全国急诊部样本行政数据库,分析了 2010 年至 2017 年期间 44041 例 VAD 支持的成年人的急诊就诊情况,以评估该人群中 MHDO 与结果之间的关系。23%的就诊患者存在 MHDO 诊断,与更高的费用和住院率相关,但死亡率较低。

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引用本文的文献

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本文引用的文献

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J Am Heart Assoc. 2021 Feb 16;10(4):e018035. doi: 10.1161/JAHA.120.018035. Epub 2021 Feb 5.
2
Psychiatric Comorbidity and Outcomes After Left Ventricular Assist Device Implantation for End-Stage Heart Failure.精神共病与终末期心力衰竭患者左心室辅助装置植入术后的结局。
JACC Heart Fail. 2020 Jul;8(7):569-577. doi: 10.1016/j.jchf.2020.03.011. Epub 2020 Jun 10.
3
Suicide Attempts Among LVAD Recipients: Real-Life Data From the ASSIST-ICD Study.
左心室辅助装置(LVAD)接受者中的自杀未遂情况:来自ASSIST-ICD研究的真实数据。
Circulation. 2020 Mar 17;141(11):934-936. doi: 10.1161/CIRCULATIONAHA.119.041910. Epub 2020 Mar 10.
4
Psychosocial Evaluation of Candidates for Heart Transplant and Ventricular Assist Devices: Beyond the Current Consensus.心脏移植和心室辅助装置候选者的心理社会评估:超越当前共识。
Circ Heart Fail. 2019 Jul;12(7):e006058. doi: 10.1161/CIRCHEARTFAILURE.119.006058. Epub 2019 Jun 19.
5
Depression and anxiety in patients undergoing left ventricular assist device implantation.接受左心室辅助装置植入手术患者的抑郁和焦虑
Int J Artif Organs. 2017 Nov 1:0. doi: 10.5301/ijao.5000650.
6
Implant Strategy-Specific Changes in Symptoms in Response to Left Ventricular Assist Devices.植入策略特异性的症状变化对左心室辅助装置的反应
J Cardiovasc Nurs. 2018 Mar-Apr;33(2):144-151. doi: 10.1097/JCN.0000000000000430.
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Depression and anxiety as predictors of mortality among heart failure patients: systematic review and meta-analysis.抑郁和焦虑作为心力衰竭患者死亡率的预测因素:系统评价与荟萃分析。
Heart Fail Rev. 2016 Jan;21(1):49-63. doi: 10.1007/s10741-015-9517-4.
8
Psychosocial characteristics and outcomes in patients with left ventricular assist device implanted as destination therapy.接受作为终末期治疗的左心室辅助装置植入患者的心理社会特征及结局
Am Heart J. 2015 Nov;170(5):887-94. doi: 10.1016/j.ahj.2015.08.012. Epub 2015 Aug 16.
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Frequency of depression and anxiety before and after insertion of a continuous flow left ventricular assist device.植入持续流动左心室辅助装置前后抑郁和焦虑的频率。
Am J Cardiol. 2014 Aug 1;114(3):433-40. doi: 10.1016/j.amjcard.2014.05.015. Epub 2014 May 17.
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