在接受机械血栓切除术治疗急性缺血性中风的患者中早期的气管切除术
Smit Shah1, Eris Spirollari2, Christina Ng2
1Department of Neurology, University of South Carolina/PRISMA Health Richland, Columbia, SC, United States of America.
Journal of critical care
|June 19, 2023
概括
在急性缺血性中风患者的早期气管切除术中,接受机械血栓切除术的患者可能会减少住院和并发症. 这种时间,在第8天之前,与较少的不良事件有关,但没有改善生存率.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 干预性神经放射学 干预性神经放射学
背景情况:
- 呼吸衰竭是急性缺血性中风 (AIS) 机械血栓切除术 (MT) 后的一个重大并发症.
- 气管切除术通常需要为这些患者提供呼吸支持,其时间可以影响结果.
- 了解与气管切除术时间相关的因素对于优化患者护理至关重要.
研究的目的:
- 评估与用MT治疗的AIS患者的气管切除术时间相关的特征.
- 为了确定早期气管切除术 (ETR) 是否会影响住院患者的治疗结果.
主要方法:
- 分析国家住院样本数据库 (2016-2019年) 对接受AIS的MT的成年患者的分析.
- 包括接受气管切除术的患者,ETR定义为住院8天前的安置.
- 对人口特征,并发症和住院患者的结果进行统计分析.
主要成果:
- 在3505名需要气管切除术的AIS-MT患者中,26.1%接受了ETR.
- ETR与住院时间显著缩短 (25.39 vs 32.43天) 和总住院费用降低有关.
- ETR并没有改善死亡率,但与急性损伤,肺炎和败血症的降低率有关.
结论:
- 需要气管切除术的AIS-MT患者往往会出现并发症增加和资源利用率增加,反映了中风的严重程度.
- 在这些高风险患者中,ETR与更短的住院时间和更少的并发症有关.
- 在选择的AIS-MT患者中,早期的气管切除术时间可能是有益的策略.
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