在Fontan患者初次心力衰竭咨询后的结果
Sharon Chen1, Muhammad F Shezad2, Angela Lorts2
1Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.
Cardiology in the young
|November 28, 2023
概括
芬顿衰竭患者经常面临晚期转诊到高级心脏护理,超过40%的患者经历了延迟. 早期咨询至关重要,特别是对于那些在Fontan手术后不久心力衰竭的人来说,以改善结果.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 先进的心力衰竭管理管理
背景情况:
- 芬顿衰竭患者是心脏移植和先进疗法的高风险群体.
- 了解初始心力衰竭咨询后的结果是及时转诊的关键.
- 优化转诊时间可以显著影响Fontan患者的高级心力衰竭护理.
研究的目的:
- 评估Fontan患者初次心力衰竭咨询的时间和结果.
- 确定与晚期转诊至高级心力衰竭护理相关的因素.
- 为早期和更有效地转诊Fontan患者的策略提供信息.
主要方法:
- 一项涉及心力衰竭提供者管理Fontan患者的调查研究.
- 在初次咨询和30天后的结果中收集的临床特征数据.
- 被归类为为移植"太晚"或在30天内经历"护理升级"的患者.
主要成果:
- 42%的Fontan患者经历了晚期转诊以获得高级心力衰竭护理.
- 10%的患者被转诊过晚,有些人在咨询后30天内死亡.
- 36%需要护理升级,包括VAD植入或移植列表.
结论:
- 很大一部分Fontan患者被推到晚期进行高级心力衰竭治疗.
- 迟到的转诊与Fontan手术后一年内发生的心力衰竭密切相关.
- 建议更早地转诊,特别是经过Fontan手术后,以改善患者的治疗结果.
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