同一天排放的安全性和可行性,经过不复杂的透静提取
Carola Gianni1, Mohanad Elchouemi1, Rami Helmy1
1Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, USA.
Journal of cardiovascular electrophysiology
|December 11, 2023
概括
在无并发的透静提取 (TLE) 后,当天排出 (SDD) 对选定的患者是安全的和可行的. 这种策略可能会导致较少的并发症,与一夜间观察相比.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 干预程序 干预程序
背景情况:
- 透静提取 (TLE) 存在风险,通常需要住院治疗.
- 在没有并发症的TLE之后,常规的过夜可能不需要.
研究的目的:
- 评估在没有并发症的TLE后,在同一天排出 (SDD) 的安全性和可行性.
- 为了比较SDD和非SDD组之间的并发症率.
- 为了确定SDD的预测因素.
主要方法:
- 对265名接受无并发性TLE患者 (2019-2021) 的回顾性研究.
- 在SDD和非SDD组之间比较1,7和30天的主要手术相关并发症.
- 对预测SDD的临床和程序因素的分析.
主要成果:
- 一天并发症没有显著差异 (SDD 0%与非SDD 1.8%).
- 在SDD组中,7天 (2.1%对比8.2%) 和30天 (3.5%对比16%) 的并发症率较低.
- 非感染性指示和早晨手术完成是SDD的预测因素.
结论:
- 没有并发症的TLE后的当天出院对于选定的患者来说是可行的和安全的.
- 没有设备感染的患者和接受早晨手术的患者是SDD的合适候选人.
- SDD可能与减少长期并发症有关.
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