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静脉血栓栓塞症病例住院时间的相关因素:来自 i-RegVed 登记处的见解。

Factors Associated with Hospital Length of Stay among VTE Cases: Insights from the i-RegVed Registry.

机构信息

Indian Council of Medical Research, New Delhi, India.

i-RegVed Team: Principal investigators from active sites, Bhupen Barman, Department of General Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati; Bipin P. Kulkarni, ICMR - National Institute of Immunohaematology, Mumbai; Chandan Kumar Ray Mohapatra, Department of Cardio Thoracic Vascular Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar; Geetha R Menon, ICMR-National Institute of Medical Statistics, New Delhi, India; Girish Baburao Kulkarni, Department of Neurology, National Institute of Mental Health and Neuro Sciences, Bengaluru; Hemachandren M, Department of Cardiothoracic & Vascular Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry; Iadarilang Tiewsoh, Department of Medicine, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong; Justin Paul Gnanaraj, Institute of Cardiology, Rajiv Gandhi Government General Hospital, Madras Medical College, Parktown, Chennai; Karthik Vishwanathan, Department of Orthopaedics, Parul University; Narendra Kumar, Department of Radiology and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh; Vikas Bhatia, Dept. of Community & Family Medicine, AIIMS, Bibinagar; Rakesh Yadav, Department of Cardiology, AIIMS, New Delhi, India; Sree Lakshmi K, Department of Pathology, Bangalore Medical College and Research Institute, Bengaluru; Syed Mudasir Qadri, Department of General Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar.

出版信息

J Prim Care Community Health. 2024 Jan-Dec;15:21501319241266815. doi: 10.1177/21501319241266815.

DOI:10.1177/21501319241266815
PMID:39118386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11311186/
Abstract

INTRODUCTION

Venous thromboembolism (VTE) is a multifactorial condition and one of the leading causes of mortality and disability. The present study explores the factors associated with hospitalization duration among different types of venous thromboembolism diagnoses, such as deep vein thrombosis (DVT), pulmonary embolism (PE), and other forms of thrombosis.

METHODS

The data included participants with VTE admitted to 13 hospitals within pan-India from June 2022 to December 2023 to the i-RegVed registry, where socio-demographic data, clinical history, and various factors associated with hospital length of stay (LOS) were included for analyses. Multilinear regression was performed to explore the factors associated with hospital LOS among VTE conditions such as DVT, PE, forms of thrombosis other than PE and DVT, and all VTE diagnoses.

RESULTS

A total of 633 participants were included in the study, with 55% being males, and 28.9% being homemakers. Longer hospital LOS was significantly associated with age (β = -.09,  < .05), sex (β = 3.21,  < .05), and non-communicable diseases (β = 3.51,  < .05) among participants with DVT and among participants with at least one of the VTE diagnoses, age (β = -.12,  < .001) and anticoagulant use (β = -2.49,  < .05) was significantly associated.

CONCLUSION

The findings provide insights into the factors influencing hospital outcomes among participants with different types of VTE, highlighting the importance of age and comorbidities in predicting the hospital LOS.

摘要

简介

静脉血栓栓塞症(VTE)是一种多因素疾病,也是导致死亡和残疾的主要原因之一。本研究探讨了不同类型 VTE 诊断(如深静脉血栓形成 [DVT]、肺栓塞 [PE] 和其他形式的血栓形成)与住院时间相关的因素。

方法

该数据包括 2022 年 6 月至 2023 年 12 月期间在全印度范围内的 13 家医院就诊的 VTE 患者,纳入了 i-RegVed 登记处的社会人口统计学数据、临床病史和与住院时间(LOS)相关的各种因素,用于分析。采用多元线性回归分析了 DVT、PE、非 PE 和 DVT 形式的血栓形成以及所有 VTE 诊断等 VTE 疾病与住院 LOS 相关的因素。

结果

共有 633 名参与者纳入本研究,其中 55%为男性,28.9%为家庭主妇。DVT 患者和至少有一种 VTE 诊断的患者中,住院 LOS 与年龄(β=-0.09,<0.05)、性别(β=3.21,<0.05)和非传染性疾病(β=3.51,<0.05)显著相关,年龄(β=-0.12,<0.001)和抗凝剂使用(β=-2.49,<0.05)也与至少有一种 VTE 诊断的患者的住院 LOS 显著相关。

结论

这些发现提供了关于不同类型 VTE 患者影响住院结果的因素的见解,强调了年龄和合并症在预测住院 LOS 中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec4d/11311186/9b53afb15921/10.1177_21501319241266815-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec4d/11311186/9b4e2cc219f7/10.1177_21501319241266815-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec4d/11311186/9b53afb15921/10.1177_21501319241266815-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec4d/11311186/9b4e2cc219f7/10.1177_21501319241266815-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec4d/11311186/9b53afb15921/10.1177_21501319241266815-fig2.jpg

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