The Lancet Regional Health: Western Pacific最新文献

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Early performance of a decentralised, primary-care hepatitis C programme in Cambodia: a retrospective programme evaluation, 2024 柬埔寨分散的初级保健丙型肝炎规划的早期实施：回顾性规划评估，2024年

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101758

Chansovannara Soputhy , Florian Girond , Samley Keo , Kolveasna Kim , Luis Sagaon-Teyssier , Capucine Penicaud , Sovann Ly , Emilie Mosnier

Background

Real-world evidence on decentralised, primary-care delivery for hepatitis C virus (HCV) in the Western Pacific is limited. We evaluated Cambodia's national, primary care–led HCV programme in 2024.

Methods

We analysed facility-level data from 256 health facilities in 15 operational districts to assess six HCV cascade steps: screening, anti-HCV positivity, RNA testing, viraemia, treatment initiation, and treatment completion. Design-based survey estimators were used to estimate proportions with 95% confidence intervals (CIs). To account for multi-stage design (clustering within operational districts), design-based generalised linear models were utilised to assess the factors associated with viraemia, treatment initiation and completion.

Findings

HCV testing coverage among adults (≥18 years; denominator 2,196,351) was 3·5% (95% CI 2·5–4·4). Of 76,512 adults tested, 3213 (4·2%; 95% CI 3·1–5·6) were anti-HCV-positive; 2628/3213 (81·8%) received RNA testing, and 1446/2628 (55·0%; 95% CI 49·5–60·3) were viraemic (1·9% of all tested). Among RNA-positive individuals, 1345/1446 (93·0%) initiated direct-acting antivirals and 1289/1345 (95·8%) completed treatment. Viraemia was higher among men (adjusted odds ratio [aOR] 1·40; 95% CI 1·05–1·86), varied by province (Takeo aOR 2·79, Kampong Cham aOR 2·11 versus Battambang), and elevated in October–December (Q4; aOR 1·79) versus January–March. Treatment initiation and completion surpassed 90% across facilities. The principal gap was confirmatory testing (18·2% of anti-HCV-positive individuals lacked RNA testing).

Interpretation

A decentralised, primary-care model achieved high linkage and treatment completion in the first year. Closing the confirmatory testing gap (reflex RNA/core antigen from same encounter), prioritising low-coverage/high-burden districts, and establishing patient-level linkage to capture sustained virologic response at week 12 are priorities to accelerate elimination.

Funding

ANRS MIE (ANRS0689b).

现实世界中关于西太平洋地区丙型肝炎病毒（HCV）分散初级保健服务的证据有限。我们评估了柬埔寨2024年以初级保健为主导的国家HCV规划。方法我们分析了来自15个业务区256个卫生机构的设施级数据，以评估6个HCV级联步骤：筛查、抗HCV阳性、RNA检测、病毒血症、开始治疗和完成治疗。使用基于设计的调查估计器以95%置信区间（ci）估计比例。为了考虑多阶段设计（在操作区域内聚集），采用基于设计的广义线性模型来评估与病毒血症、治疗开始和完成相关的因素。发现成人（≥18岁；分母2,196,351）的shcv检测覆盖率为3.5% （95% CI 2.5 - 4.4）。在接受检测的76,512名成人中，3213名（4.2%;95% CI 3.1 - 5.6）为抗hcv阳性；2628/3213例（81.8%）接受了RNA检测，1446/2628例（55.0%;95% CI 49.5 - 60.03）为病毒血症（占所有检测的1.9%）。在rna阳性个体中，1345/1446（93.0%）开始使用直接抗病毒药物，1289/1345（95.8%）完成治疗。男性病毒血症较高（校正优势比[aOR] 1.40; 95% CI 1.05 - 1.86），因省而异（武夫比值为2.79，磅湛比值为2.11，马德望比值为2.11），10 - 12月（Q4； aOR为1.79）高于1 - 3月。所有设施的治疗启动和完成率超过90%。主要的差距是确认性检测（18.2%的抗hcv阳性个体缺乏RNA检测）。解释：一种分散的初级保健模式在第一年实现了高度的联系和治疗完成。消除确认性检测差距（来自相同遭遇的反射RNA/核心抗原），优先考虑低覆盖率/高负担地区，并建立患者层面的联系，以在第12周捕获持续的病毒学反应，是加速消除的优先事项。基金编号：anrs MIE （ANRS0689b）。

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引用次数: 0

Heterogeneous determinants of falling birth rates in the Western Pacific 西太平洋地区出生率下降的异质决定因素

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101785

The Lancet Regional Health – Western Pacific

引用次数: 0

Leveraging managed access with life-cycle reassessment in Asia-Pacific: advancing the learning of health system matters for innovative medicines in oncology 利用亚太地区生命周期再评估的可及性管理：促进对肿瘤学创新药物卫生系统事项的学习

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101769

Yuanshi Jiao , Zonglin Dai , Jiangnan Zhu , Manuel A. Espinoza , Xue Li

引用次数: 0

Socio-economic inequality underpins inequity in influenza vaccination uptake between public and private secondary schools: an Australian population-based study 社会经济不平等加剧了公立和私立中学之间流感疫苗接种的不平等：一项澳大利亚人口研究

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101761

Huong Le , Christopher C. Blyth , Clement Schlegel , Jo-Anne Morgan , Francis Mitrou , Ha Nguyen , Rachel Foong , Samantha Carlson , Catherine Hughes , Bette Liu , Hannah C. Moore

Background

Socio-economic inequality and vaccination inequity have long been critical issues. However, no studies have explored the gap in influenza vaccination uptake between public and private schools. Importantly, the extent to which socio-economic inequality translates into vaccination uptake inequity has not been quantified. We investigate influenza vaccination uptake among school-aged Australian children in 2023, compare uptake between public and private schools, and assess the role of socio-economic inequality in vaccination uptake inequity.

Methods

We analysed whole-of-population linked immunisation, census, and administrative data. Multivariable logistic regression was used to identify key uptake predictors, and the Oaxaca-Blinder decomposition was used to identify factors driving uptake inequity between public and private schools.

Findings

Of 9.5 million influenza vaccination doses administered, only 0.7 million (7%) were given to school-aged children (5–<18 years), who represent 16% of the population. Coverage among school-aged children was low. Secondary school-aged children had the lowest uptake, with a significant gap between public and private schools. Children in private secondary schools, who demonstrate greater socio-economic advantage, had higher uptake than their public peers (unadjusted OR = 1.47; 95% CI: 1.45–1.57). Two-thirds of the uptake gap is driven by differences in cultural, linguistic, and socio-economic characteristics, with parental education, parental income, and socio-economic characteristics of residential area being the strongest contributors.

Interpretation

Addressing socio-economic inequality among parents could reduce vaccination uptake inequity for children. Future influenza vaccination campaigns should consider tailored strategies for specific cultural, linguistic, and socio-economic groups.

Funding

Wesfarmers Centre of Vaccines and Infectious Diseases; Western Australian’s Future Health Research and Innovation Fund.

长期以来，社会经济不平等和疫苗接种不平等一直是关键问题。然而，没有研究探讨公立和私立学校之间流感疫苗接种的差距。重要的是，社会经济不平等转化为疫苗接种不平等的程度尚未得到量化。我们调查了2023年澳大利亚学龄儿童的流感疫苗接种情况，比较了公立和私立学校的接种情况，并评估了社会经济不平等在疫苗接种不平等中的作用。方法我们分析了与整个人口相关的免疫接种、人口普查和行政数据。多变量逻辑回归用于确定关键的摄取预测因素，并使用Oaxaca-Blinder分解来确定导致公立和私立学校之间摄取不平等的因素。调查结果：在950万剂流感疫苗接种中，只有70万剂（7%）接种给了学龄儿童（5 - 18岁），他们占人口的16%。学龄儿童的覆盖率很低。中学适龄儿童的入学率最低，公立和私立学校之间存在显著差距。私立中学的学生表现出更大的社会经济优势，比公立中学的同龄人有更高的吸收能力（未经调整的OR = 1.47; 95% CI: 1.45-1.57）。三分之二的吸收差距是由文化、语言和社会经济特征的差异造成的，其中父母的教育程度、父母的收入和居民区的社会经济特征是最大的贡献者。解决父母之间的社会经济不平等可以减少儿童接种疫苗的不平等。未来的流感疫苗接种运动应考虑针对特定文化、语言和社会经济群体的量身定制战略。资助西部农民疫苗及传染病中心；西澳大利亚未来健康研究和创新基金。

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引用次数: 0

Women's health and female fertility: current evidence and knowledge gaps in the Asia–Pacific region 妇女健康和女性生育力：亚太区域目前的证据和知识差距

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101710

Jiaxi Yang , Wei Wei Pang , Guoqi Yu , Juliana Antero , Ling-Jun Li , Zhongwei Huang , Cuilin Zhang

In the face of declining global birth rates, women's health status remains a critical yet often overlooked determinant. This review summarises evidence on how various aspects of women's health, including nutrition and lifestyle, socioeconomic status, environmental pollutants, and metabolic and reproductive health are related to birth rates and female fertility. A healthy lifestyle, including a balanced, nutrient-rich diet, regular physical activity, adequate sleep, and mental wellbeing along with optimal metabolic and reproductive health, supports women's health. Meanwhile, broader determinants, such as socioeconomic status and environmental pollutants, also shape women's health and reproductive wellbeing. Collectively, these individual and systemic factors influence female fertility and birth outcomes, and subsequently, population-level birth rates. However, most existing evidence is based on White populations, underscoring the need for more inclusive research, particularly in the Asia–Pacific region. Improving women's health and fertility outcomes requires a holistic approach, with coordinated efforts across research, education, and policy domains.

在全球出生率不断下降的情况下，妇女的健康状况仍然是一个关键但往往被忽视的决定因素。本综述总结了妇女健康的各个方面，包括营养和生活方式、社会经济地位、环境污染物以及代谢和生殖健康如何与出生率和女性生育率相关的证据。健康的生活方式，包括均衡、营养丰富的饮食、有规律的身体活动、充足的睡眠和心理健康，以及最佳的代谢和生殖健康，都有助于妇女的健康。与此同时，社会经济地位和环境污染物等更广泛的决定因素也影响妇女的健康和生殖福祉。总的来说，这些个体和系统因素影响女性的生育能力和生育结果，进而影响人口水平的出生率。然而，大多数现有证据都是基于白人人口，这强调了开展更具包容性研究的必要性，特别是在亚太地区。改善妇女健康和生育成果需要采取整体办法，在研究、教育和政策领域协调努力。

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引用次数: 0

Indigenous people's perspectives on sharing health data for service delivery purposes: an inquiry using Indigenous methodologies 土著人民对为提供服务而共享保健数据的看法：使用土著方法的调查

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101753

Kristie Watego , Morgan Brodhurst-Hill , Cherilda Murray , Clare Mangoyana , Alynta Emery , Jayde Woon , Kara Williams , Natasha Reid , Teyl Engstrom , Carmel Nelson , Clair Sullivan , Jenny Setchell

Background

With healthcare's accelerating digital transformation and expanding data-sharing capabilities, it is essential to uphold Indigenous Data Sovereignty (IDSov)—which affirms Indigenous ownership and authority over health data relating to Indigenous communities. Indigenous Data Governance (IDGov) provides the mechanisms through which IDSov is enacted, ensuring Indigenous Peoples lead decisions about how data are collected, accessed, and used. Our research investigates a local enactment of IDGov, discussing how custodial stewardship is enacted in data-sharing arrangements between an Aboriginal and Torres Strait Islander community-controlled health organisation and a government birthing facility. The research aimed to understand Aboriginal and Torres Strait Islander service users' and health workers' perspectives on how/whether to share data between services.

Methods

Led by a community-controlled organisation, the study used Indigenous methodologies, including ‘yarning’—a traditional knowledge-sharing practice. An Aboriginal researcher conducted yarns with Aboriginal and/or Torres Strait Islander staff and perinatal service users. Collaborative analysis was undertaken using an adapted ‘Thought Ritual’, an Indigenous analytical framework.

Findings

Analysis identified four domains: 1) Power and Control in Data Sharing—Data sharing can shift power dynamics, affecting sovereignty and community control, 2) Safety Concerns—Participants cited legal, cultural, and psychosocial risks tied to stigma and systemic racism, 3) Ability to Do My Job—Limited data access can hinder effective service delivery, and 4) Not Everything Should Be Shared—There is a clear preference for consent-based, selective data sharing.

Interpretation

Honouring Indigenous perspectives in data-sharing arrangements is an ethical obligation. In perinatal settings, upholding custodial stewardship helps safeguard sovereignty, safety, and equitable outcomes.

Funding

Funding was received from the Australian Government through the Medical Research Future Fund.

背景：随着医疗保健数字化转型的加速和数据共享能力的扩大，维护土著数据主权（IDSov）至关重要，这确认了土著对与土著社区有关的健康数据的所有权和权威。土著数据治理（IDGov）提供了制定土著数据治理的机制，确保土著人民主导如何收集、访问和使用数据的决策。我们的研究调查了IDGov的地方法规，讨论了如何在土著人和托雷斯海峡岛民社区控制的卫生组织和政府生育设施之间的数据共享安排中实施托管管理。该研究旨在了解土著和托雷斯海峡岛民服务用户和卫生工作者对如何/是否在服务之间共享数据的看法。该研究由一个社区控制的组织领导，使用了土著方法，包括“编织”——一种传统的知识共享实践。一名土著研究人员与土著和/或托雷斯海峡岛民工作人员和围产期服务使用者进行了交谈。协作分析采用了一种改编的“思想仪式”，这是一种本土的分析框架。分析结果确定了四个领域：1)数据共享中的权力和控制——数据共享可以改变权力动态，影响主权和社区控制；2)安全问题——参与者提到了与污名和系统性种族主义相关的法律、文化和心理风险；3)做我的工作的能力——有限的数据访问可能会阻碍有效的服务提供；4)并非所有内容都应该共享——人们明显倾向于基于同意的、有选择性的数据共享。在数据共享安排中尊重土著观点是一项道德义务。在围产期环境中，坚持监护管理有助于维护主权、安全和公平的结果。资金澳大利亚政府通过医学研究未来基金提供资金。

{"title":"Indigenous people's perspectives on sharing health data for service delivery purposes: an inquiry using Indigenous methodologies","authors":"Kristie Watego , Morgan Brodhurst-Hill , Cherilda Murray , Clare Mangoyana , Alynta Emery , Jayde Woon , Kara Williams , Natasha Reid , Teyl Engstrom , Carmel Nelson , Clair Sullivan , Jenny Setchell","doi":"10.1016/j.lanwpc.2025.101753","DOIUrl":"10.1016/j.lanwpc.2025.101753","url":null,"abstract":"<div><h3>Background</h3><div>With healthcare's accelerating digital transformation and expanding data-sharing capabilities, it is essential to uphold Indigenous Data Sovereignty (IDSov)—which affirms Indigenous ownership and authority over health data relating to Indigenous communities. Indigenous Data Governance (IDGov) provides the mechanisms through which IDSov is enacted, ensuring Indigenous Peoples lead decisions about how data are collected, accessed, and used. Our research investigates a local enactment of IDGov, discussing how custodial stewardship is enacted in data-sharing arrangements between an Aboriginal and Torres Strait Islander community-controlled health organisation and a government birthing facility. The research aimed to understand Aboriginal and Torres Strait Islander service users' and health workers' perspectives on how/whether to share data between services.</div></div><div><h3>Methods</h3><div>Led by a community-controlled organisation, the study used Indigenous methodologies, including ‘yarning’—a traditional knowledge-sharing practice. An Aboriginal researcher conducted yarns with Aboriginal and/or Torres Strait Islander staff and perinatal service users. Collaborative analysis was undertaken using an adapted ‘Thought Ritual’, an Indigenous analytical framework.</div></div><div><h3>Findings</h3><div>Analysis identified four domains: 1) Power and Control in Data Sharing—Data sharing can shift power dynamics, affecting sovereignty and community control, 2) Safety Concerns—Participants cited legal, cultural, and psychosocial risks tied to stigma and systemic racism, 3) Ability to Do My Job—Limited data access can hinder effective service delivery, and 4) Not Everything Should Be Shared—There is a clear preference for consent-based, selective data sharing.</div></div><div><h3>Interpretation</h3><div>Honouring Indigenous perspectives in data-sharing arrangements is an ethical obligation. In perinatal settings, upholding custodial stewardship helps safeguard sovereignty, safety, and equitable outcomes.</div></div><div><h3>Funding</h3><div>Funding was received from the Australian Government through the <span>Medical Research Future Fund</span>.</div></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"65 ","pages":"Article 101753"},"PeriodicalIF":8.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to “Adverse health outcomes among migrant workers and transnational families in the Asia–Pacific: a systematic review and meta-analysis” [The Lancet Regional Health–Western Pacific 2025;64: 101720] “亚太移徙工人和跨国家庭的不良健康后果：系统审查和荟萃分析”的勘误表[《柳叶刀》区域卫生-西太平洋2025；64: 101720)

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101774

Rosita Chia-Yin Lin , Karen Lau , Kathryn Mackey , Natasha Roya Matthews , Maushmi Selvamani , Beatriz Morais , Oumnia Bouaddi , Chaelin Kim , Azusa Iwamoto , Masami Fujita , Ursula Trummer , Tran Ngoc Dang , Alena Kamenshchikova , Cathy Zimmerman , Sally Hargreaves

引用次数: 0

Social determinants of low fertility in Asia: a comparative review of trends in East, Southeast and South Asia 亚洲低生育率的社会决定因素：东亚、东南亚和南亚趋势的比较审查

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101724

Wei-Jun Jean Yeung , Jeofrey Bautista Abalos

Asia, home to nearly 60% of the world's population, is central to global demographic change. Fertility trajectories shape population growth, aging, and decline, with implications for labor supply, economic development, family structures, and caregiving. Studying these patterns offers critical insights into the future of population size, structure, and human potential both regionally and globally. This paper addresses gaps in the largely snapshot, country-specific literature by providing a six-decade comparative overview of fertility trends in East, Southeast, and South Asia, with emphasis on their social determinants. Fertility is shaped not only by individual choice or biology but also by broader socioeconomic, cultural, and policy contexts that influence proximate factors of fertility such as union patterns, contraception, postpartum infecundability, and abortion. We identify distinct regional trajectories of fertility decline, examine their underlying drivers, assess the applicability of prevailing theories, and propose an Asymmetric Adaptation Framework to explain Asia's fertility transitions. While socioeconomic development and ideational change have shaped fertility behavior, cultural factors—such as religion, colonial legacies, kinship systems, and family policy—are pivotal in Asia. Certain trends cannot be explained by socioeconomic development alone, reflecting deeper historical and cultural roots. The Asian experience highlights the limits of prevailing Eurocentric, unidirectional theories and underscores the need for regionally grounded explanations that account for the interplay of structural forces, cultural norms, historical contexts, and policy in shaping fertility decline.

亚洲拥有世界近60%的人口，是全球人口变化的中心。生育率轨迹决定了人口的增长、老龄化和下降，对劳动力供应、经济发展、家庭结构和护理都有影响。研究这些模式可以为未来的人口规模、结构以及区域和全球的人类潜力提供重要的见解。本文通过对东亚、东南亚和南亚地区60年来的生育趋势进行比较概述，重点介绍了这些地区的社会决定因素，解决了主要是简要的、针对具体国家的文献中的差距。生育不仅受到个人选择或生物学的影响，还受到更广泛的社会经济、文化和政策背景的影响，这些因素会影响生育的直接因素，如结合模式、避孕、产后不孕和堕胎。我们确定了生育率下降的不同区域轨迹，研究了其潜在驱动因素，评估了主流理论的适用性，并提出了一个不对称适应框架来解释亚洲的生育率转变。虽然社会经济发展和观念变化影响了生育行为，但文化因素——如宗教、殖民遗产、亲属制度和家庭政策——在亚洲至关重要。某些趋势不能仅仅用社会经济发展来解释，它反映了更深层次的历史和文化根源。亚洲的经验凸显了流行的以欧洲为中心的单向理论的局限性，并强调需要基于区域的解释，以解释结构力量、文化规范、历史背景和政策在形成生育率下降过程中的相互作用。

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引用次数: 0

Asia Pacific Heart Rhythm Society (APHRS) scientific statement on stroke prevention strategies in patients with device-detected atrial fibrillation: the 4S-DDAF approach 亚太心律学会（APHRS）关于设备检测心房颤动患者卒中预防策略的科学声明：4S-DDAF方法

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101770

Tze-Fan Chao , Chu-Pak Lau , Eue-Keun Choi , Chi-Keong Ching , Ngai-Yin Chan , Chung-Lieh Hung , Boyoung Joung , Rungroj Krittayaphong , Hung-Fat Tse , Gregory Y.H. Lip

Device-detected atrial fibrillation (DDAF), including atrial high-rate episodes recorded at a cardiovascular implantable electronic device and subclinical atrial fibrillation detected by insertable cardiac monitor and smart wearables, poses an increasing challenge in stroke prevention. Although oral anticoagulants (OACs) are effective in clinical AF, their benefit-risk balance in DDAF remains uncertain. In response, the Asia Pacific Heart Rhythm Society (APHRS) proposes the 4S-DDAF approach (Strip documentation and longest AF duration, Symptoms, Stroke [ischemic] history, and Score) to guide anticoagulation decisions. This approach integrates electrogram review, symptom assessment, history of ischemic stroke or transient ischemic attack (TIA), and CHA₂DS₂-VASc scoring, emphasizing individualized care. OACs are recommended for patients with AF episodes ≥24 h, prior stroke/TIA, CHA₂DS₂-VASc score ≥4, or vascular disease. In patients not meeting these thresholds, close monitoring and risk factor management are advised. The 4S-DDAF approach provides a practical and evidence-informed strategy for clinical decision-making in the management of DDAF.

设备检测心房颤动（DDAF），包括在心血管植入式电子设备上记录的心房高发生率发作和可插入心脏监护仪和智能可穿戴设备检测的亚临床心房颤动，对卒中预防提出了越来越大的挑战。尽管口服抗凝剂（OACs）对临床房颤有效，但其在DDAF中的利益-风险平衡仍不确定。为此，亚太心律学会（APHRS）提出了4S-DDAF方法（条带记录和最长AF持续时间、症状、卒中[缺血性]病史和评分）来指导抗凝决策。该方法整合了电图回顾、症状评估、缺血性卒中或短暂性脑缺血发作（TIA）史和CHA2DS2-VASc评分，强调个性化护理。房颤发作≥24小时、既往卒中/TIA、CHA2DS2-VASc评分≥4分或有血管疾病的患者推荐使用OACs。对于未达到这些阈值的患者，建议进行密切监测和风险因素管理。4S-DDAF方法为DDAF管理的临床决策提供了实用和循证的策略。

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引用次数: 0

Corrigendum to “Epidemiological characteristics of heatstroke in China, 2010–2023: a longitudinal study based on a national heatstroke surveillance system” [The Lancet Regional Health – Western Pacific 64C (2025) 101722] “2010-2023年中国中暑流行病学特征：基于国家中暑监测系统的纵向研究”的勘误表[The Lancet Regional Health - Western Pacific 64C (2025) 101722]

IF 8.1 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES

The Lancet Regional Health: Western Pacific

Pub Date : 2025-12-01 DOI: 10.1016/j.lanwpc.2025.101778

Xiaoye Wang , Fan Ding , Xiaoqi Qi , Ziyi Wang , Yingxin Pei , Lijie Zhang , Jinghuan Ren , Yeping Wang , Qing Guo , Biao Zeng , Shiyao Xu , Tian Liu , Rui Wang , Zhifeng Wang , Guoqing Shi

引用次数: 0

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