感染性内心炎手术时间
Sibghat Tul Llah1, Sumaiya Sharif2, Sami Ullah3
1CHI Saint Vincent Infirmary, 2 St Vincent Cir, Little Rock, AR 72205, USA.
概括
在7天内对复杂的左侧感染性内心炎进行早期手术干预,可显著降低脑血管事故和败血栓塞的风险. 然而,它不会影响住院死亡率.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 传染性疾病 传染性疾病
背景情况:
- 在复杂的左侧传染性内心炎中,手术干预的最佳时间尚不清楚.
- 目前的专业协会指南提出了不一致的建议.
- 关于手术时间和结果的数据有限且相互矛盾.
研究的目的:
- 评估早期手术干预与延迟手术干预对左侧传染性内心炎复杂患者的结果的影响.
- 为了比较早期和晚期手术组之间的初级和二级结局的发生率.
主要方法:
- 使用国家住院样本 (NIS) 数据库从2016年到2020年.
- 鉴定了因感染性内心炎住院的患者,因为左侧并发症需要手术干预.
- 在住院7天 (早期) 内接受手术的患者的结果与住院7天 (晚期) 后的结果进行比较.
主要成果:
- 早期手术 (7天内) 与死亡,CVA,败血栓栓塞,,心脏骤停 (32.6%对45.1%) 的综合结果明显较低.
- 在早期手术组中观察到急性心血管梗塞,外周败血栓栓塞和内/脊内腹的发病率减少.
- 在早期和晚期手术组之间,医院内全因死亡或心脏骤停率没有显著差异.
结论:
- 在住院7天内进行手术干预与大脑血管事故,败血栓和瘤的改善结果有关.
- 早期的手术没有显示出在减少全因住院死亡率方面有显著的益处.
- 研究结果表明,及时进行手术对缓解感染性内心炎的特定栓塞并发症有潜在的益处.
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