Heart:英国的南亚人植入式心律转复除颤器治疗的差异

2020-01-11 xiangting MedSci原创

尽管有一个全面和免费的医疗体系,居住在英国的南亚人ICD植入率明显低于白人。

植入式心律转复除颤器(ICD)的植入率存在很大的地域性差异,其原因尚不完全清楚。在多种族化加剧的人群中,这项研究旨在调查种族是否会影响ICD植入率。

这是一项回顾性队列研究,纳入20061月至20192月在一个英国三级中心接受新ICD植入或ICD升级的白人或南亚人。从定期收集的本地登记中获得数据。计算莱斯特郡人口ICD植入的自然比率,并使用2011年英国国家人口普查将年龄标化为英国人口。

人口普查时莱斯特郡的人口为980328,其中白人为76140377.7%),南亚人为15550015.9%)。总体而言,白人(91.9%)和南亚患者(8.1%)进行了2650ICD植入。即使对年龄进行标准化(RR 0.7595CI 0.74-0.75p<0.001),南亚人接受ICD植入的可能性也比白人低(风险比(RR0.4395CI 0.37-0.49p<0.001)。一级预防指征仍然如此(年龄标准化RR 0.9195CI 0.90-0.91p<0.001),而二级预防ICD植入的差异更大(年龄标准化RR 0.4995CI 0.48-0.50 p0.001)。

尽管有一个全面和免费的医疗体系,居住在英国的南亚人ICD植入率明显低于白人。这是由文化接受性还是不均衡原因造成的尚不清楚。

原始出处:

Amar Mistry. Disparity in implantable cardioverter defibrillator therapy among minority South Asians in the United Kingdom. Heart. 10 January 2020.

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    2020-07-26 villahu
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    2020-01-13 zhaojie88
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    2020-01-13 zhouqu_8
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    2020-01-13 jiyangfei
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    2020-01-13 slcumt

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