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在先天性心脏病的并发症:在童年和成年期的不同模式
Zhibao Ding1, Jingai Zhu2, Ye Ding3
1Department of Pediatrics, Lishui City People's Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, 211200, Jiangsu Province, People's Republic of China.
BMC cardiovascular disorders
|December 14, 2023
概括
与成人相比,患有先天性心脏病 (CHD) 的儿童的并发症率更高. 周产期疾病在儿童中很常见,而内分泌疾病在患有心脏病的成年人中更为普遍.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 先天性心脏病 (CHD) 是儿童和成年人群的重大健康问题.
- 关于儿童中与心脏病相关的并发症的研究有限.
- 了解并发症模式对于全面的患者管理至关重要.
研究的目的:
- 评估患有心脏病的儿童和成人的共同疾病的患病率和类型.
- 为了比较儿科和成人患有心血管疾病的人群之间的并发症模式.
- 为了确定不同CHD严重程度群体中常见的并发症.
主要方法:
- 采用密集护理医疗信息中心III (MIMIC-III) 和MIMIC-IV数据库的数据进行横截面研究.
- 使用国际疾病分类第九次修订 (ICD-9) 代码识别的患者队列.
- 协会规则分析用于探索心血管疾病和并发症之间的关系,使用支持,信心和提升指标.
主要成果:
- 总共有60,400名患者被分析;13.79%的儿童和1.54%的成年人患有心脏病.
- 儿童的并发症率 (90.19%) 与患有心脏病的成年人 (56.68%) 相比,在儿童中更高.
- 在患有心血管疾病的儿童中,最常见的并发症是围产期疾病 (87.50%),循环系统疾病和内分泌疾病. 在患有心血管疾病的成年人中,循环系统疾病 (53.78%),内分泌疾病 (35.76%) 和呼吸系统疾病 (23.46%) 是最常见的.
结论:
- 患有心血管疾病的儿童的并发症的患病率明显超过成人.
- 周产期疾病是儿科心脏病的主要并发症,而内分泌疾病在患有心脏病的成年人中更为普遍.
- 这项研究为患有心血管疾病的儿童和成人患者的不同并发症概况提供了宝贵的见解.
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