感染性内心炎的双门手术的结果在现代时代正在改善
Paighton C Miller1, Linda J Schulte2, Theodore Marghitu1
1Washington University School of Medicine, St. Louis, Mo.
The Journal of thoracic and cardiovascular surgery
|October 6, 2023
概括
在传染性内心炎 (IE) 中高风险双手术 (DVS) 的结果显示持续的死亡率,但早期干预可能会改善生存率. 多学科的护理是复杂的IE病例的关键.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 医学成果研究研究成果
背景情况:
- 传染性内心炎 (IE) 的发生率正在增加.
- 对IE的高风险双门手术 (DVS) 的结果没有得到充分的记录.
研究的目的:
- 描述IE对DVS的当代结果.
- 为了确定IE的DVS后死亡的风险因素.
主要方法:
- 对211名为IE接受DVS的患者 (2001-2021) 的回顾性分析.
- 使用了来自胸部外科医生协会注册表的数据.
- 使用考克斯回归分析了30天和1年死亡率的风险因素.
主要成果:
- 该队列 (73%是男性,平均年龄56岁) 具有高的输液药物滥用率 (21%),透析 (24%),和假内心炎 (24%).
- 30天和1年的死亡率分别为14%和30%.
- 透析,输液药物滥用和假内心炎预测生存率下降,而2010年后的手术预测生存率改善.
结论:
- 尽管死亡率高,但IE中DVS的结果可能正在改善,可能是由于早期的手术干预.
- 建议对复杂的IE进行多学科评估,以优化时间和修复策略.
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