Health
Heart fragile while spouse in ICU
According to Japanese observational studies, having a spouse in the ICU is associated with a moderately increased risk of cardiovascular events.
Healthcare visits for cardiovascular disease 4 weeks after admission to the ICU of the spouse were relatively 27% more common compared to control couples (2.7% vs. 2.1%, OR 1.27, 95% CI 1.08-1.50), Hiroyuki Obe, MD, MPH, Faculty of Public Health, University of Tokyo, Reported in circulation..
Hospitalization rate Rarely, such events also increased: 0.3% in ICU spouses, 0.2% in controls (OR 2.29, 95% CI 1.30-4.05), in stroke, acute coronary syndrome, and arrhythmias. 0.2% vs. 0.1%, congestive heart failure, or pulmonary embolism (OR 2.72, 95% CI 1.28-5.78).
Researchers pointed out that increased psychological stress and changes in behavioral health risk factors are likely to be the cause, as well as “decision-making stress and substantial long-term care burden.”
Strategies to mitigate risk include connecting the spouse to a bereavement group, as well as the ICU support infrastructure for the spouse, as well as perhaps being seen as the patient himself in blood pressure and EKG checks in primary care. May also be included. A spokesperson for Steinbaum, DO, and the American Heart Association at the Cardiovascular Research Institute at Lenox Hill Hospital in New York City.
Researchers warned that their study included only hired and insured individuals, but said Steinbaum was likely to be generalized.
“In fact, the Japanese first identified Takotsubo cardiomyopathy, but we did confirm it in our population,” she points out, and many previous evidences indicate the risk of bereavement heart and death. Is shown.
The findings are particularly relevant to many families affected by severe COVID-19 and may help explain some of the increased mortality of the general population during the COVID-19 pandemic. Steinbaum suggested. A Cleveland Clinic Study There was an increase in stress cardiomyopathy among those who were negative for SARS-CoV-2 during the pandemic.
“What we really learn from COVID is that there are people who have died because of COVID, not just COVID,” she said. Today’s MedPage.. “The mortality and morbidity of those left behind is probably increasing. I am convinced that this study sheds light on what we see and what we understand at some point.”
In this study, we analyzed the database of the Japan Medical Data Center on health insurance claims for outpatients and inpatients. 7,815 spouses (mean age 54 years, 35% male) of patients admitted to the ICU for more than 2 days had age, gender, and health insurance status. The event was defined by the ICD-10 code diagnosis of cardiovascular disease.
People with a spouse in the ICU are more likely to be diagnosed with hypertension (22% vs 20%), type 2 diabetes (18% vs 17%), and hyperlipidemia (23% vs 22%). I did.
The results of hospitalization for cardiovascular disease and severe cardiovascular events were comparable to those of the main analysis.
There were no significant differences between the groups in the 6-month control period prior to admission to the ICU or in multiple periods examined for more than 4 weeks after admission.
Disclosure
This survey was supported by the Ministry of Health, Labor and Welfare and the Ministry of Education, Culture, Sports, Science and Technology of Japan.
Researchers and Steinbaum have not revealed a relationship with the industry.
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