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Adherence to home-monitoring and its impact on survival in post-lung transplantation patients

机译:肺移植术后患者对家庭监护的坚持及其对生存的影响

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摘要

A home-monitoring program can be an important part of the follow-up care after lung transplantation surgery. We report mortality data from the home-monitoring program at University of Minnesota. The data from 246 lung recipients who participated in the home-monitoring program from 1992 to 2002 were analyzed. Subjects’ first year adherence rates were correlated with survival using a Cox proportional hazards model. The analysis showed a hazard ratio of 0.744, (95% CI 0.338–1.635). Kaplan-Meier survival analysis comparing the high adherence group (adherence rate > 75%) and the lower adherence group (adherence rate <= 75%) showed a tendency toward better survival, but again, it did not reach statistical significance (p=0.24). Competing risks analysis for causes of death showed a decreased risk ratio of 0.416 (95% CI 0.123–1.407) among pulmonary related mortality.
机译:家庭监护计划可能是肺移植手术后后续护理的重要组成部分。我们报告了明尼苏达大学的家庭监护计划的死亡率数据。分析了来自1992年至2002年参加家庭监护计划的246名肺接收者的数据。使用Cox比例风险模型,受试者的第一年依从率与生存率相关。分析显示,危险比为0.744(95%CI 0.338-1.635)。 Kaplan-Meier生存分析比较了高依从性组(依从率> 75%)和较低依从性组(依从率<= 75%),显示有更好的生存趋势,但再次没有统计学意义(p = 0.24) )。死亡原因的竞争风险分析显示,与肺相关的死亡率中,风险比降低了0.416(95%CI 0.123-1.407)。

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