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首页> 外文期刊>Journal of studies on alcohol and drugs. >Hospital- and Patient-Level Characteristics Associated With Unplanned Readmissions and In-Patient Mortality in Men and Women With Alcoholic Cardiomyopathy
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Hospital- and Patient-Level Characteristics Associated With Unplanned Readmissions and In-Patient Mortality in Men and Women With Alcoholic Cardiomyopathy

机译：与无人入院的医院和患者水平特征以及酒精性心肌病的男性和女性的患者死亡率相关

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摘要

Objective: The aims of the study were to (a) determine rates of early, late, and overall 30-day all-cause readmission for women and men with the diagnosis of alcoholic cardiomyopathy (ACM), (b) examine hospital- and patient-level characteristics associated with the risk of readmission and how these factors differed by sex, and (c) examine the association between sex and in-patient mortality during readmission. Method: We conducted a multi-year cross-sectional analysis of adult (>= 18 years) inpatient hospitalizations in the United States. Descriptive statistics including frequencies and percentages were used to describe the study population, stratified by sex. We then used Poisson regression with robust error variance estimation to estimate risk ratios (RRs) and 95% confidence intervals (CIs) that represented the associations between sex and likelihood of 30-day all-cause readmission and inpatient mortality. Results: Among more than 116 million hospitalizations, there were 53,207 ACM-related hospitalizations (45,573 men and 7,634 women). Thirty-day all-cause readmission rates following an ACM-related index hospitalization were similar between men (20.3%) and women (20.5%). For men and women, cancer, hepatitis, chronic renal failure, cirrhosis, asthma, and anemia were associated with a higher risk of readmission. Although crude in-hospital mortality rates were higher among women (6.6%) than men (4.3%), there were no sex differences in mortality after adjusting for confounders (RR = 1.26, 95% CI [0.88, 1.81]). Conclusions: Although men are more likely to be hospitalized for ACM, readmission risk is high (approximately 20%) and is similar in men and women following hospitalization for ACM. Hospital care transition programs that include a multidisciplinary approach are needed to help prevent these readmissions and associated morbidity and mortality.
机译：目的：本研究的目的是（a）确定诊断为酒精性心肌病（ACM）的女性和男性的早期、晚期和总体30天全因再入院率，（b）检查与再入院风险相关的医院和患者层面特征，以及这些因素在性别上的差异，（c）检查性别与再入院期间住院死亡率之间的关系。方法：我们对美国成人（>=18岁）住院患者进行了多年横断面分析。描述性统计包括频率和百分比被用来描述研究人群，按性别分层。然后，我们使用泊松回归和稳健误差方差估计来估计风险比（RRs）和95%置信区间（CI），它们代表了性别与30天全因再入院可能性和住院死亡率之间的关联。结果：在超过1.16亿例住院患者中，有53207例与ACM相关的住院患者（45573名男性和7634名女性）。男性（20.3%）和女性（20.5%）在ACM相关指数住院后的30天全因再入院率相似。对于男性和女性来说，癌症、肝炎、慢性肾功能衰竭、肝硬化、哮喘和贫血与再入院风险较高相关。尽管女性的粗住院死亡率（6.6%）高于男性（4.3%），但在校正混杂因素后，死亡率没有性别差异（RR=1.26，95%CI[0.88，1.81]）。结论：尽管男性因ACM住院的可能性更大，但因ACM住院的男性和女性再入院风险较高（约20%），且相似。需要包括多学科方法的医院护理过渡计划来帮助防止这些再入院和相关的发病率和死亡率。

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