在LVAD患者的不良事件路程的时间表
Faezeh Movahedi1, Manreet K Kanwar2, James F Antaki3
1Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Artificial organs
|June 12, 2023
概括
在接受左心室辅助装置 (LVAD) 的15,000多名患者中调查不良事件 (AE) 时间表,揭示了AE发生和持续时间的关键模式. 了解这些AE旅程对于改善患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
背景情况:
- 左心室辅助器件 (LVAD) 对于心力衰竭管理至关重要.
- 了解LVAD植入后不良事件 (AEs) 的时间进程对于患者的结果至关重要.
- INTERMACS注册表提供了丰富的数据集,用于分析患者事件轨迹.
研究的目的:
- 在接受左心室辅助装置 (LVAD) 的患者中调查不良事件 (AEs) 的时间表和模式.
- 使用INTERMACS事件数据集分析AE的时间进程.
- 在LVAD接收者中识别AE旅程的关键时间特征.
主要方法:
- 使用了INTERMACS注册表中来自15820名连续流LVAD患者 (2008-2016) 的86,912次记录的副作用的描述性统计数据.
- 通过解决六个专注于时间方面的具体研究问题,检查了AE时间表.
- 分析了AE事件的发生时间,持续时间和事件之间的间隔.
主要成果:
- 在LVAD植入后的AE旅程中确定了与时间相关的独特特征和模式.
- 确定了手术后AE发生的最常见时间.
- 描述了AE旅程的持续时间,以及第一个/最后一个AE的时间,以及事件之间的时间间隔.
结论:
- INTERMACS事件数据集是研究LVAD患者AE时间表的宝贵资源.
- 未来的研究应该考虑数据集的时间特征 (多样性,稀疏性),以获得适当的范围和细节性.
- 承认潜在的数据挑战对于有效分析AE旅程至关重要.
相关概念视频
01:29Cardiomyopathy V: Interprofessional Care
18
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
18
01:26Cardiac Catheterization IV: Nursing Management
76
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
76
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
01:26Acute Coronary Syndrome V: Nursing Management
18
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
18
01:27Mitral Stenosis IV: Nursing Management
15
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
15
01:30Heart Failure V: Medical Management
16
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
16