在47379名接受过导管大动脉置换的人群中出现手术后妄:系统性审查和元分析
Sidhant Ochani1, Alishba Adnan2, Amna Siddiqui2
1Department of Medicine, Khairpur Medical College, Khairpur Mir's.
Annals of medicine and surgery (2012)
|September 4, 2023
概括
住院术后狂妄症 (IHPOD) 影响了10.5%的透气管大动脉置换 (TAVR) 患者,在非透气靠近后的发病率更高. 脑卒中发生率为3.7%,与妄想风险有关.
科学领域:
- 心脏病学 心脏病学
- 老年医学 老年医学
- 神经科学是一个神经科学.
背景情况:
- 在接受过导管大动脉置换 (TAVR) 的老年患者中,术后妄想是一个重大问题.
- 了解住院术后痴呆症 (IHPOD) 的发生率和危险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 评估TAVR后老年患者IHPOD的发生率.
- 在这一群体中探索预防和减少术后并发症的策略.
- 为了确定中风的发生率及其与狂妄症的关联.
主要方法:
- 到2021年8月,在多个数据库中进行了系统的文献搜索.
- 包括的研究集中在接受TAVR的70岁以上患者身上,分析IHPOD,中风发生率,并使用混乱评估方法 (CAM).
- 不包括非英语的研究,患有并发症的患者和无法访问的全文.
主要成果:
- 在TAVR后IHPOD的总发病率为10.5% (CAM为15.6%).
- 与TF-TAVR (9.3%) 相比,非跨关节 (TF) TAVR (25.3%) 的发生率明显更高.
- 脑卒中发生率为3.7%,与IHPOD风险有显著的关联.
结论:
- IHPOD是TAVR后的常见并发症,特别是在非TF方法中.
- 脑卒中是TAVR后发作妄的重要危险因素.
- 需要进一步的研究来确定原因和预防策略,包括麻醉和栓塞保护.
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