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The risk of CV events may increase immediately after the spouse enters the ICU

The risk of CV events may increase immediately after the spouse enters the ICU

 


October 5, 2020

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Researchers have found that spouse patients admitted to the ICU may be at increased risk of CV events in the weeks following admission to the ICU.

“The spouse of an ICU patient needs to pay attention to his or her physical health, especially in terms of cardiovascular disease.” Hiroyuki Obe, MD, MPH, A PhD student in clinical epidemiology and health economics at the University of Tokyo’s Faculty of Public Health said in a press release. “The ICU can be a stressful environment with a heavy burden of long-term care, and spouses can face harsh decisions about the continuation or termination of life-supporting treatment.”

ICU unit
Source: Adobe Stock.

In this matched pair cohort study, circulation, Researchers analyzed data from couples from the Japanese medical data center database. The exposed group (n = 7,815) consisted of spouse patients who were admitted to the ICU for more than 2 days, while the non-exposed group (n = 31,250) were patients with matching gender, age, and health insurance status. It consisted of. The mean age of the matched study cohort was 54 years (35% male).

The main outcome of this study was a CVD visit, with secondary outcomes being CVD hospitalization and hospitalization for severe CV events defined as ACS, stroke, congestive heart failure, arrhythmias, and pulmonary embolism. Was included. Each result was evaluated in several periods after the spouse entered the ICU: 1 to 4 weeks, 5 to 8 weeks, 9 to 12 weeks, and 13 to 16 weeks. Results were evaluated 21 to 24 weeks prior to spouse’s entry into the ICU to see if the CV event was unrelated to entry into the ICU.

Compared to spouses in the unexposed group, spouses in the exposed group were diagnosed with hyperlipidemia (22% vs 23%), diabetes (17% vs 18%) and hypertension (20% vs 22%). Was likely to occur.

After admission to the ICU, CVD visits occurred in 2.7% of patients in the exposed group compared to 2.1% in the non-exposed group (OR = 1.27; 95% CI, 1.08-1.5). The results of CVD hospitalization and severe CV events were similar to those of the main analysis.

“The use of data on hired and insured individuals may limit generalization to other populations, but our findings show that spouse ICU admission causes cardiovascular disease. Patients who have shown that they may contribute to the ICU and emphasize potential goals for improving family outcomes in the ICU, “he wrote.

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