老龄化和心脏植入式电子设备并发症:该程序在老年患者中是否安全?
Tuncay Güzel1, Adem Aktan2, Raif Kılıç3
1Department of Cardiology, Health Science University, Gazi Yaşargil Training and Research Hospital, 21070, Diyarbakır, Turkey. drtuncayguzel@gmail.com.
Aging clinical and experimental research
|August 20, 2023
概括
接受心脏植入式电子设备 (CIED) 程序的老年患者 (≥75岁) 的感染率更高. 在这种人口群体中,对感染进行仔细的术前和术后评估至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 老年医学 老年医学
背景情况:
- 心脏植入式电子设备 (CIED) 对于管理各种心脏疾病至关重要.
- 在老年人群中评估程序并发症风险对于患者安全至关重要.
- 这项研究比较了75岁以上和75岁以下接受CIED手术的患者的并发症发生率.
研究的目的:
- 确定老年患者 (≥75岁) 经历心脏植入式电子设备 (CIED) 程序后并发症的发病率较高,与年轻患者 (<75岁) 相比.
主要方法:
- 进行了一项回顾性队列研究,涉及1923名在2011年1月至2023年5月期间接受CIED手术的患者.
- 患者被分为两组:<75岁和≥75岁.
- 主要复合终点包括临床显著的血液瘤,心周溢出/栓塞,肺胸和与设备相关的感染.
主要成果:
- 在年龄组之间的总体初级复合终点 (3.5%与4.4%,p=0.393) 中没有发现显著差异.
- 在老年人群中,与设备相关的感染率明显高 (1.8%对3.4%,p=0.034).
- 在临床上显著的血液瘤或肺胸之间没有发现年龄组之间的显著差异.
结论:
- 在75岁及以上的患者中,感染率显著更高.
- 这一老年患者群需要高度警感染的发展,无论是在CIED手术前后.
- 多变量分析没有确定75岁以上的年龄是设备相关感染的独立风险因素.
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