在感染性内心炎中进行中枢修复后的一年结果的基于性别的差异
Zeinab Mohseni Afshar1, Feridoun Sabzi2, Maria Shirvani1
1Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Brazilian journal of cardiovascular surgery
|August 4, 2023
概括
与男性相比,接受因传染性内心炎而进行关节修复的女性的死亡率,不良事件,重新手术和治疗失败率较高. 这些女性的较差结果与更复杂的临床风险概况有关.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 外科手术的结果
背景情况:
- 传染性内心炎经常影响心脏门,需要手术干预.
- 密特拉修复是感染性内心炎的常见手术,但结果可能因性别而异.
研究的目的:
- 调查基线特征的基于性别的差异.
- 为了评估基于性别的差异,在传染性内心炎中进行 mitra 门修复后的一年后的结果.
主要方法:
- 进行了一项横截面研究,涉及75名因传染性内心炎接受了 mitra 门修复的患者.
- 使用统计分析,包括独立样本t测试,配对样本t测试和千平方/费舍尔精确测试来比较男性和女性患者组.
主要成果:
- 与男性相比,女性 (34.7%) 的糖尿病,高血压和高胆固醇血症的发病率较高 (65.3%).
- 在男性中,吸烟史的患病率更高.
- 一年后的随访显示,女性的死亡率显著上升,主要的不良心脏和脑血管事件,额头膜重置手术和治疗失败率显著上升.
结论:
- 由于感染性内心炎而接受关节修复的女性在一年内比男性更糟糕的结果.
- 妇女的不良事件增加可能归因于她们更不利的基线临床风险概况.
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