在新的导管切除后,心房的特征症状有所改善
Meghan Reading Turchioe1, Alexander Volodarskiy2,3, Winston Guo3
1Columbia University School of Nursing, 560 W. 168th Street, New York, NY 10032, USA.
European journal of cardiovascular nursing
|July 21, 2023
概括
对心房动 (AF) 的导管切除提供了多种症状缓解. 摘除后的症状是异质的,受到心力衰竭,年龄和性别等因素的影响,影响呼吸不良,和心.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 心房动 (AF) 导管切除旨在缓解症状,但症状的解决方案尚未得到充分记录.
- 电子健康记录 (EHR) 对于跟踪患者的治疗后结果至关重要.
研究的目的:
- 在导管切除之前和之后,在EHR中描述AF症状文档.
- 为了确定与症状缓解相关的因素,在6个月和12个月后进行切除.
主要方法:
- 对1293名经过切除术的AF患者进行了回顾性队列研究 (2010-2020年).
- 自然语言处理 (NLP) 算法用于从临床笔记中提取症状数据.
- 后勤回归模型分析了症状解决的相关性.
主要成果:
- 剥离后的症状模式是异质的.
- 心力衰竭与呼吸不良,和疲劳的分辨率较低有关,但心的分辨率较高.
- 年龄较大,女性性别,黑人种族,吸烟史和抗失常药物使用与较低的症状分辨率相关.
结论:
- 在患者之间,切除后症状的结果显著不同.
- 这些发现强调需要进行更大规模的研究,以告知接受切除术的患者,主要是为了缓解症状.
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