永久心脏起器的存在:对患有创伤的老年患者的影响
Tanzim Bhuiya1, Demian Omeh2, Rezwan Munshi2
1Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Trauma surgery & acute care open
|June 21, 2023
概括
持久心脏起器 (PPM) 的老年创伤患者不会面临增加的死亡率. 虽然PPM表明潜在的心血管疾病,但现代创伤护理可以减轻该群体的相关风险.
科学领域:
- 老年创伤的治疗方法
- 心血管植入物 植入物
- 创伤研究成果研究结果
背景情况:
- 永久性起器 (PPM) 在老年人中很普遍.
- 伤害后无法增加心脏输出与更高的死亡率有关.
- PPM可能表明心脏输出增强能力受损.
研究的目的:
- 评估PPM存在与老年创伤患者的临床结果之间的关联.
- 为了确定PPM是否是老年创伤不良结果的危险因素.
- 评估PPM对创伤护理死亡率和资源利用的影响.
主要方法:
- 208名老年创伤患者的PPM与208名对照者的倾向匹配.
- 对人口统计,伤害和并发症数据的分析.
- 后勤回归用于评估PPM对死亡率,SICU入院和手术干预的影响.
主要成果:
- 在PPM患者中,冠状动脉疾病,心力衰竭和心房动的发病率较高.
- 在PPM存在和死亡率之间没有发现显著的关联 (OR=2.1,p=0.061).
- 与生存相关的因素包括女性性别,较低的ISS和较低的SICU入院.
结论:
- 在老年创伤患者中,PPM的存在与死亡率的增加无关.
- PPM可能作为心血管疾病的标志物,但不会增加创伤风险.
- 现代创伤管理有效地解决了PPM患者的潜在风险.
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