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与死亡率和Truncus arteriosus修复后不良结果相关的因素
Jessica E Hook1, Dennis R Delany1, Jason R Buckley1
1Division of Pediatric Cardiology, Department of Pediatrics, Medical University of South Carolina College of Medicine, Charleston, South Carolina.
The Annals of thoracic surgery
|July 25, 2023
概括
接受动脉修复的婴儿面临着重大风险. 低出生体重,早期入院以及急性损伤等特定并发症与更高的死亡率和不良结果有关.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 遗传性心脏病研究 遗传性心脏病研究
- 医疗保健结果分析分析
背景情况:
- 动脉修复在婴儿中带来了相当大的患病和死亡风险.
- 确定不良结果的预测因素对于改善手术结果至关重要.
研究的目的:
- 为了确定与接受动脉修复的婴儿在医院死亡率相关的因素.
- 确定术后长时间住院和90天再入院的预测因素.
主要方法:
- 对儿科健康信息系统数据库 (2004-2019) 的分析.
- 包括接受动脉修复的90天以下的婴儿.
- 多变量后勤回归用于识别与死亡率,长期停留和再接收相关的因素.
主要成果:
- 在医院的死亡率为10% (164/1645). 这些因素包括低出生体重,早期入院,骨干门手术,心脏骤停,ECMO,AKI,心脏导管,气管切除术和早期手术时代.
- 长时间逗留 (>30天) 影响31% (508/1645). 预测因素包括早产,迪乔治综合征,早期入院,后期手术时代,AKI,感染,心脏导管,声带,气管切除和胃口切除.
- 在34% (511/1481) 的幸存者中,发生了90天的再入院. 相关因素包括迪乔治综合症,裂唇/口腔,心脏导管和ECMO.
结论:
- 多种因素显著影响婴儿在动脉修复后的医院死亡率和不良结果.
- 发现有助于提高高风险新生儿的质量,术后咨询和出院计划.
- 了解这些预测因素可以指导临床决策和资源分配,以更好地管理患者.
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