八十多岁人群中中枢门手术:确定可以指导临床决策的因素
Dionysios Pavlopoulos1, Konstantinos S Mylonas2, Dimitrios Avgerinos2
1Department of Cardiac Surgery, National and Kapodistrian University of Athens, "Attikon" University Hospital, Athens, Greece.
Asian cardiovascular & thoracic annals
|July 11, 2023
概括
八十多岁的米特拉手术在修复和更换之间生存率没有差异. 功能障碍和手术时间预测短期死亡率,而门病理和EuroSCORE II预测长期生存率.
科学领域:
- 心血管外科心血管外科
- 老年医学 老年医学
- 心脏门疾病 心脏门疾病
背景情况:
- 八十多岁的中枢门手术存在独特的挑战,因为与年龄相关的并发症.
- 越来越多的老年人群导致越来越多的八十岁的候选人进行 mitra 门手术.
- 评估机构经验对于完善这一群体的临床决策至关重要.
研究的目的:
- 评估80岁以上的患者中关手术的机构结果.
- 确定八岁以上人中米特拉手术后死亡率和长期存活率的预测因素.
- 为了比较米特拉修复与替换在这个患者群体中的疗效.
主要方法:
- 对于80岁以上接受米特拉手术的患者的机构数据库的回顾性审查 (2002年10月 - 2021年2月).
- 主要终点包括30天全因死亡率和第一个月后的长期存活率.
- 分析影响结果的因素,包括手术方法,并发症和风险评分.
主要成果:
- 99名八十多岁的年轻人接受了心心膜手术 (70人更换,29人修复).
- 在中枢置换和修复之间,30天或长期生存率没有显著差异.
- 慢性病和手术时间独立预测了30天的死亡率.
- mitra 门病理的病因学和 EuroSCORE II 独立预测了长期存活率.
结论:
- 手术方法 (修复与替换) 并没有影响八十岁的米特拉手术中的死亡率.
- 功能障碍和EuroSCORE II分别是30天死亡率和长期预后的独立预测指标.
- 风湿性门疾病与这种患者队列的长期预后较差有关.
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