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首页> 外文期刊>Heart >Comorbidity, healthcare utilisation and process of care measures in patients with congenital heart disease in the UK: cross-sectional, population-based study with case-control analysis
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Comorbidity, healthcare utilisation and process of care measures in patients with congenital heart disease in the UK: cross-sectional, population-based study with case-control analysis

机译：英国先天性心脏病患者的合并症，医疗保健利用和护理措施过程：基于病例的横断面，基于人群的研究

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Objective: To determine the prevalence of comorbidities, patterns of healthcare utilisation and primary care recording of clinical indicators in patients with congenital heart disease.rnPatients and methods: A population-based case-control study using data from general practices across the UK contributing data to the QRESEARCH primary care database. The subjects comprised 9952 patients with congenital heart disease and 29 837 matched controls. Outcome measures were prevalence of selected comorbidities; adjusted odds ratios for risk of comorbidities, healthcare utilisation and clinical indicator recording. Results: The overall crude prevalence of congenital heart disease was 3.05 per 1000 patients (95% Cl 2.99 to 3.11). Prevalence of key comorbidities in patients with congenital heart disease ranged from 2.4% (95% Cl 2.1% to 2.7%) for epilepsy to 9.3% (95% Cl 8.8% to 9.9%) for hypertension. After adjusting for smoking and deprivation, cases were significantly more likely than controls to have each of the cardiovascular comorbidities and an increased risk of diabetes, epilepsy and renal disease. Patients with congenital heart disease were more frequent users of primary care than controls. Patients with congenital heart disease were also more likely than controls to have lifestyle and risk factor measurements recorded in primary care, although overall levels of recording were low. Conclusions: There is a significant burden of comorbidity associated with congenital heart disease, and levels of primary care utilisation and referral to secondary care are high in this patient group. The predicted future expansion in the numbers of adults with congenital heart disease owing to improvements in survival will have implications for primary and secondary care, and not just tertiary centres offering specialist care.
机译：目的：确定先天性心脏病患者的合并症患病率，医疗保健利用模式和临床指标的初级保健记录。患者和方法：一项基于人群的病例对照研究，使用了来自英国的一般实践数据QRESEARCH基层医疗数据库。受试者包括9952名先天性心脏病患者和29 837名匹配的对照组。结果措施是某些合并症的流行。调整合并症风险，医疗保健利用率和临床指标记录的优势比。结果：先天性心脏病的总体患病率是每1000例患者3.05（95％Cl 2.99至3.11）。先天性心脏病患者的关键合并症患病率从癫痫的2.4％（95％Cl 2.1％至2.7％）到高血压的9.3％（95％Cl 8.8％至9.9％）不等。在调整了吸烟和剥夺之后，与心血管疾病相比，病例更有可能罹患心血管合并症，并且患糖尿病，癫痫和肾脏疾病的风险增加。先天性心脏病患者比对照组更频繁地使用初级保健。尽管总体记录水平较低，但先天性心脏病患者比对照组更有可能在初级保健中记录生活方式和危险因素的测量值。结论：与先天性心脏病相关的合并症负担很重，该患者组的初级保健利用率和转诊二级保健水平很高。由于生存率的提高，先天性心脏病成人人数的预期未来增长将对初级和二级保健产生影响，而不仅仅是提供专科护理的三级中心。

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