在提取程序后,当天排放的安全性
Lilas Dagher1, Mohamad Ali Tfaily1, Michael Vavuranakis1
1Division of Cardiology, Section of Electrophysiology, Emory University School of Medicine, Atlanta, Georgia.
Heart rhythm
|August 17, 2023
概括
通过静脉提取后的当天排泄在特定患者中是安全的和可行的. 诸如较高的BMI和较短的领先停留时间等因素可以预测成功的当天出院,改善患者的护理.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗设备提取 医疗设备提取
背景情况:
- 同日出院 (SDD) 越来越多地用于心血管程序.
- 通过静脉提取 (TLE) 后SDD的安全性需要评估.
研究的目的:
- 评估在选择性透静提取后在同一天排出的安全性和可行性.
- 确定与当天出院相比过夜的预测因素.
主要方法:
- 从2020年1月到2021年10月,对111名从2020年1月到2021年10月接受选择性TLE的患者进行了回顾性图表审查.
- 主要结果:当天放弃. 二次结果:主要并发症和30天的再入院.
- 多变量分析以确定过夜预测因素.
主要成果:
- 80名 (72%) 患者当天出院;31名 (28%) 患者过夜.
- 在这两组中都没有报告任何重大并发症.
- 过夜与较短的停留时间,激光的使用,以及提取的数量的增加有关.
结论:
- 同一天出院对于经过选择性TLE的适当选择的患者来说是一个安全和可行的选择.
- 有利于SDD的因素包括更高的BMI,更少的取量,更短的停留时间,以及较少使用激光提取的频率.
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