先天性心脏病和中风之间的关联:来自国家数据库的见解
Sarah E Gardner Yelton1,2, Saul Flores3,4, Lisa R Sun5
1Division of Cardiology, Advocate Children's Hospital, Oak Lawn, IL, USA. sarah.gardneryelton@aah.org.
Pediatric cardiology
|October 14, 2023
概括
患有先天性心脏病的儿童在儿科重症监护室中患中风的风险更高. 这种中风增加了死亡率,强调了早期识别和干预的必要性.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 神经学 神经学
- 心脏病学 心脏病学
背景情况:
- 脑卒中是儿童重症监护病房的一个重要问题.
- 先天性心脏病 (CHD) 是众所周知的各种并发症的风险因素.
研究的目的:
- 为了确定儿童重症监护病房中风的流行率.
- 为了确定心脏病患者中风的危险因素.
- 评估小儿心脏病患者中风和死亡率之间的关联.
主要方法:
- 使用儿科健康信息系统数据库 (2016-2021) 进行回顾性队列研究.
- 分析了超过4.26万名儿科重症监护病房的入院情况.
- 单变量和多变量逻辑回归以确定中风风险因素,并为心脏病患者开发预测模型.
主要成果:
- 所有入院患者中有0.9%患有中风;1.4%的CHD患者患有中风.
- 增加中风风险与先天性心脏病,年轻年龄,体外膜氧化,机械呼吸和心脏骤停有关.
- 脑卒中显著增加了心血管疾病患者的死亡率 (OR 2.49).
结论:
- 患有先天性心脏病的儿童面临高风险的中风.
- 在这一群体中,中风与较高的死亡率有关.
- 开发预测模型和早期识别策略对于预防神经病变至关重要.
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