在心房移除心房移除后的同一天排泄
Jose Aguilera1, Erika Hutt1, Ruth Madden1
1Department of Cardiovascular Medicine, Section of Cardiac Pacing and Electrophysiology, Cleveland Clinic, Cleveland, OH, USA.
Heliyon
|December 4, 2023
概括
在心房动 (AF) 导管切除后,当天排泄 (SDD) 是安全有效的. 这种方法降低了医疗保健成本,提高了患者的满意度,使其成为符合条件的患者的可行选择.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心房动 (AF) 导管切除是一种安全有效的AF管理策略.
- 在AF切除后的当日出院 (SDD) 可以降低医疗保健成本并改善患者的体验.
研究的目的:
- 评估当代AF切除后SDD的安全性和患者满意度.
主要方法:
- 一个前性注册表收集了从2020年1月1日至2021年10月10日接受AF切除的1830名患者的数据.
- 根据医生的自由裁量权和患者的偏好,患者被考虑SDD.
- 重大并发症,不良事件和重新入院分别在90天,30天和30天后进行裁决.
主要成果:
- 在1830名患者中,有350名 (19%) 在同一天出院 (SDD组).
- 在倾向分数匹配后,SDD与较少的重大并发症和更高的患者满意度有关.
- 最严重的并发症发生在手术后6小时内.
结论:
- 当代AF切除后的当日放电 (SDD) 是可行的和安全的.
- 建议的SDD路径和标准与改善的患者满意度有关.
- SDD是优化AF切除管理的可行策略.
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