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冠心病患者诊断与共病的人群及共现特征:来自中国广西某医院的病例研究

Population and Co-Occurrence Characteristics of Diagnoses and Comorbidities in Coronary Artery Disease Patients: A Case Study from a Hospital in Guangxi, China.

作者信息

Wang Jiaojiao, Qi Zhixuan, Liu Xiliang, Li Xin, Cao Zhidong, Zeng Daniel Dajun, Wang Hong

机构信息

State Key Laboratory of Multimodal Artificial Intelligence Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.

Cornell Tech, Cornell University, New York, NY 10044, USA.

出版信息

Bioengineering (Basel). 2024 Dec 18;11(12):1284. doi: 10.3390/bioengineering11121284.

Abstract

Coronary artery disease (CAD) remains a major global health concern, significantly contributing to morbidity and mortality. This study aimed to investigate the co-occurrence patterns of diagnoses and comorbidities in CAD patients using a network-based approach. A retrospective analysis was conducted on 195 hospitalized CAD patients from a single hospital in Guangxi, China, with data collected on age, sex, and comorbidities. Network analysis, supported by sensitivity analysis, revealed key diagnostic clusters and comorbidity hubs, with hypertension emerging as the central node in the co-occurrence network. Unstable angina and myocardial infarction were identified as central diagnoses, frequently co-occurring with metabolic conditions such as diabetes. The results also highlighted significant age- and sex-specific differences in CAD diagnoses and comorbidities. Sensitivity analysis confirmed the robustness of the network structure and identified clusters, despite the limitations of sample size and data source. Modularity analysis uncovered distinct clusters, illustrating the complex interplay between cardiovascular and metabolic disorders. These findings provide valuable insights into the relationships between CAD and its comorbidities, emphasizing the importance of integrated, personalized management strategies. Future studies with larger, multi-center datasets and longitudinal designs are needed to validate these results and explore the temporal dynamics of CAD progression.

摘要

冠状动脉疾病(CAD)仍然是一个主要的全球健康问题,对发病率和死亡率有重大影响。本研究旨在使用基于网络的方法调查CAD患者的诊断和合并症的共现模式。对来自中国广西一家医院的195例住院CAD患者进行了回顾性分析,收集了年龄、性别和合并症数据。在敏感性分析的支持下,网络分析揭示了关键的诊断集群和合并症中心,高血压成为共现网络中的中心节点。不稳定型心绞痛和心肌梗死被确定为核心诊断,经常与糖尿病等代谢性疾病同时出现。结果还突出了CAD诊断和合并症中显著的年龄和性别差异。敏感性分析证实了网络结构和识别集群的稳健性,尽管样本量和数据源存在局限性。模块分析发现了不同的集群,说明了心血管和代谢紊乱之间的复杂相互作用。这些发现为CAD与其合并症之间的关系提供了有价值的见解,强调了综合、个性化管理策略的重要性。需要进行更大规模、多中心数据集和纵向设计的未来研究来验证这些结果,并探索CAD进展的时间动态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/11673256/cdcae92986da/bioengineering-11-01284-g0A1.jpg

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