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左心室辅助器械临床结果的性别差异

Steven Imburgio¹, Sowmya Dandu¹, Viraaj Pannu¹

¹Department of Medicine, Jersey Shore University Medical Center, Neptune City, New Jersey, USA.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

|October 23, 2023

概括

与男性相比,女性在左心室辅助装置 (LVAD) 植入后的再入院率更高. 需要进一步的研究来了解和减少女性心力衰竭患者的再入院.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
公共卫生公共卫生

背景情况:

心力衰竭 (HF) 是一个主要的公共卫生问题,对男女都有显著的发病率和死亡率风险.
左心室辅助装置 (LVAD) 植入是晚期HF的常见治疗方法,但性别特异性结果尚不清楚.

研究的目的:

调查性别对再接收率和其他临床结果的影响,在晚期高血压肺炎患者的LVAD植入后.

主要方法:

在2014年至2020年期间,使用全国再接收数据库对11492名接受了LVAD植入治疗晚期肝炎的患者进行了回顾性分析.
患者按性别分层,并使用多变量回归模型分析了包括30天再入院,住院患者死亡率,停留时间和并发症率在内的结果.

主要成果:

与男性患者 (78%) 相比,女性患者 (22%) 的再入院率 (21%对17%,p=0.02) 和再入院事件 (HR:1.24,p=0.03) 显著更高.
在住院患者死亡率,住院时间或大多数程序并发症率方面,没有观察到性别之间的统计学上显著差异.

结论:

与男性相比,女性患者在LVAD植入后的再入院率较高.
这些发现表明,需要对女性患者进行更密切的监测和有针对性的干预,以减少LVAD植入后的再入院率.

关键词:

心脏衰竭是因为心脏衰竭.左心室辅助装置的使用停留时间的长度.死亡率死亡率再接纳是指重新接纳的情况.使用利用利用利用利用利用利用利用利用利用女人女人女人女人女人

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