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功能障碍与动脉静脉通道创建后的长期结果不佳有关
Scott R Levin1, Alik Farber1, Elizabeth G King1
1Division of Vascular and Endvascular Surgery, Boston Medical Center, Boston University, Chobanian and Avedisian School of Medicine, Boston, MA.
Annals of vascular surgery
|July 21, 2023
概括
患有行走障碍或需要日常活动协助的患者在动脉静脉 (AV) 接入创建后面临更高的再入院率和死亡率. 这凸显了为接受AV接入程序的功能障碍者制定量身定制的护理策略的必要性.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學.
- 患者研究成果研究结果
背景情况:
- 功能障碍会影响各种医疗程序的结果.
- 功能障碍对动脉静脉 (AV) 接入结果的影响仍未得到充分研究.
- 本研究调查了移动性和日常生活活动限制与AV访问结果之间的关联.
研究的目的:
- 评估受损的门诊状态对AV接入结果的影响.
- 评估日常生活活动 (ADL) 援助需求与AV访问结果之间的关联.
- 为了确定功能状态与90天再入院,1年初级通透性和5年死亡率之间的关系.
主要方法:
- 从2014年至2022年进行AV接入创建的患者的回顾性审查.
- 分析受损的门诊和辅助ADL状态.
- 评估与90天再入院,1年初级通透率和5年死亡率的关联.
主要成果:
- 障碍的门诊状态 (35%) 和辅助的ADL状态 (21%) 是常见的.
- 患有障碍的门诊或辅助ADL状态的患者有更高的90天再入院率.
- 障碍的门诊状态与较低的1年初级通透率和显著更高的5年死亡率有关.
- 辅助ADL状态与5年死亡率的增加有关,但与1年的通透性无关.
结论:
- 障碍的门诊和辅助ADL状态是增加再入院和长期死亡率的重要风险因素.
- 很大一部分功能障碍患者 (近50%) 在手术后的5年没有存活.
- 未来的研究应该集中在设置现实的结果预期和探索干预措施,如物理治疗的患者群体.
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