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心血管医院入院患者的共病模式

Comorbidity Patterns in Patients at Cardiovascular Hospital Admission.

作者信息

Soysaler Cezara-Andreea, Andrei Cătălina Liliana, Ceban Octavian, Sinescu Crina-Julieta

机构信息

Department of Cardiology, University of Medicine and Pharmacy "Carol Davila", Emergency Hospital "Bagdasar-Arseni", 050474 Bucharest, Romania.

Economic Cybernetics and Informatics Department, The Bucharest University of Economic Studies, 010374 Bucharest, Romania.

出版信息

Medicines (Basel). 2023 Mar 28;10(4):26. doi: 10.3390/medicines10040026.

Abstract

Hypertension frequently coexists with obesity, diabetes, hyperlipidemia, or metabolic syndrome, anditsassociation with cardiovascular disease is well established. The identification and management of these risk factors is an important part of overall patient management. In this paper, we find the most relevant patterns of hospitalized patients with cardiovascular diseases, consideringaspects of their comorbidities, such as triglycerides, cholesterol, diabetes, hypertension, and obesity. To find the most relevant patterns, several clusterizations were made, playing with the dimensions of comorbidity and the number of clusters. There are three main patient types who require hospitalization: 20% whose comorbidities are not so severe, 44% with quite severe comorbidities, and 36% with fairly good triglycerides, cholesterol, and diabetes but quite severe hypertension and obesity. The comorbidities, such as triglycerides, cholesterol, diabetes, hypertension, and obesity, were observed in different combinations in patients upon hospital admission.

摘要

高血压常与肥胖、糖尿病、高脂血症或代谢综合征并存,且其与心血管疾病的关联已得到充分证实。识别和管理这些风险因素是整体患者管理的重要组成部分。在本文中,我们考虑住院心血管疾病患者的合并症情况,如甘油三酯、胆固醇、糖尿病、高血压和肥胖等方面,找出最相关的模式。为了找到最相关的模式,我们进行了几次聚类分析,涉及合并症维度和聚类数量。主要有三种需要住院的患者类型:20%的患者合并症不太严重,44%的患者合并症相当严重,36%的患者甘油三酯、胆固醇和糖尿病情况较好,但高血压和肥胖相当严重。住院患者入院时合并症如甘油三酯、胆固醇、糖尿病、高血压和肥胖等呈现出不同的组合情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac0/10145375/d2e5a103280e/medicines-10-00026-g001.jpg

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