透析患者中中枢置换的长期结果:来自全国数据库的证据
Kelvin J Yang1, Hsun-Yi Fu2, Chia-Jui Chang3,4
1Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei.
International journal of surgery (London, England)
|September 7, 2023
概括
对于接受关节置换 (MVR) 的透析患者来说,在机械和生物假体之间做出选择不会影响长期存活. 生物假体门的重新操作率略高,但其他不良事件类似.
科学领域:
- 心血管外科心血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生物材料科学 生物材料科学
背景情况:
- 透析依赖的患者面临着假体心脏门的独特挑战.
- 额头置换 (MVR) 的结果根据假肢类型而异.
研究的目的:
- 为了在透析患者中比较机械与生物假体中膜的长期结果.
- 评估MVR后的生存率,恢复率和不良事件.
主要方法:
- 全国范围,倾向匹配的回顾性队列研究 (2001-2018).
- 使用考克斯比例危险模型和受限平均存活时间 (RMST) 进行10年结果比较.
主要成果:
- 在匹配后,机械门和生物假体门在所有原因的死亡率或主要不良门相关事件中没有显著差异.
- 生物假体门与较高的 mitra 门重新操作发生率有关.
- 在假肢类型之间,主要出血和中风的发生率是可比的.
结论:
- 门的选择 (机械或生物假体) 不会影响MVR后透析患者的长期存活率.
- 生物假体门可能需要更高的重新操作率.
- 不良事件如出血和中风是相似的,无论门类型.
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