动脉瘤下关节出血和与心脏相关的死亡:谁死亡,为什么死亡?
Farzana Khan1, Forouhideh Peyvandi1, Kevin Clare1,2
1From the School of Medicine, New York Medical College, Valhalla, NY.
Cardiology in review
|July 11, 2023
概括
动脉瘤下arachnoid出血 (aSAH) 发生后,诸如头症和低血症等医学并发症很常见. 心脏骤停显著增加aSAH患者的死亡风险,突出了针对性管理策略的需要.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 医学并发症是动脉瘤下关节出血 (aSAH) 患者的主要死亡原因.
- 关于这些并发症的发病率,结果和风险因素,国家一级的数据有限.
- 了解这些因素对于改善患者生存和管理策略至关重要.
研究的目的:
- 分析大量aSAH患者的发生率,病例死亡率和住院并发症和死亡率的风险因素.
- 为了确定与最高死亡率相关的特定并发症.
- 检查影响住院死亡率的人口和临床因素.
主要方法:
- 利用国家数据集 (国家住院患者样本) 识别aSAH患者.
- 分析了170,869名aSAH患者的数据.
- 用后勤回归计算了常见并发症的发病率和病例死亡率,并评估了使用后勤回归评估住院死亡率的风险因素.
主要成果:
- 脑水症 (29.3%) 和低血症 (17.3%) 是最常见的并发症.
- 心脏骤停 (3.2%) 是病例死亡率最高的病例 (82%) 并与住院死亡率密切相关 (OR, 22.92).
- 晚年和更高的SAH严重性得分增加了住院死亡的风险.
结论:
- 脏和心脏并发症,特别是心脏骤停,是aSAH结果的关键因素.
- 心脏骤停是aSAH后死亡的最强预测因素.
- 需要进一步的研究,以了解某些并发症病例死亡率下降的趋势.
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