八十岁人的感染性内心炎. 一个回顾性研究在一个单一的,大体积的手术中心
Valentina Scheggi1, Silvia Menale2,3, Barbara Tonietti4
1Cardiothoracovascular Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy. scheggiv@aou-careggi.toscana.it.
BMC geriatrics
|October 13, 2023
概括
患有感染性内心炎 (IE) 的老年患者面临着独特的挑战. 残疾和外科排除,而不是年龄,预测了IE的80多岁人群的死亡率.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
背景情况:
- 传染性内心炎 (IE) 是一种严重的疾病,死亡率高.
- 在老年患者,特别是八十多岁的患者中,IE的管理仍然不太了解.
- 在IE老年人的手术干预可能是复杂的.
研究的目的:
- 为了描述八十岁人的IE特征.
- 确定老年IE患者死亡率的独立预测因素.
- 评估残疾对八十岁的IE结果的预后影响.
主要方法:
- 追溯分析551名患者的非设备相关的IE.
- 97名八十岁以上 (≥80岁) 患者与年轻患者的比较.
- 统计分析以确定死亡率的独立预测因素.
主要成果:
- 八胞胎人群的女性性别和肠球菌感染的患病率更高.
- 老年患者有更多的并发症,更高的EuroSCORE II,并且更频繁地左侧IE.
- 八代人更常被排除在外科手术之外,并且三年死亡率更高.
结论:
- 具有IE的八分生殖者表现出不同的临床和微生物特征.
- 从手术排除和高残疾等级独立预测老年IE患者的死亡率.
- 仅仅年龄不应该排除手术;残疾是一个关键的预后指标.
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