前庭动和在医疗重症监护室的生存率
F A Rottmann1, H Abraham2, T Welte1
1Department of Medicine IV - Nephrology and Primary Care, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.
International journal of cardiology
|December 23, 2023
概括
在重症监护室 (ICU) 的心房动 (AF) 与较低的生存率有关. 新出现的AF患者需要更密切的监测和量身定制的护理策略,以改善结果.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 前庭动 (AF) 是重症监护室 (ICU) 的一个常见并发症.
- AF对ICU患者结果的影响仍然是争论的主题.
- 严重的疾病和先前存在的疾病是重症患者中AF的常见触发因素.
研究的目的:
- 调查心房动 (AF) 与重症监护室 (ICU) 存活率之间的关联.
- 为了比较患有新发性AF的患者和先前存在的AF和没有AF的患者的结局.
- 确定重症病患者ICU生存的独立预测因素.
主要方法:
- 一个单一中心ICU注册表的回顾性分析 (>24小时停留).
- 主要终点:重症监护室生存率.
- 二级终点:机械支,血液动力学参数,管理策略,抗凝.
主要成果:
- 新发性AF发生在14.1%的患者中;先前存在的AF发生在22.1%的患者中.
- 新发性AF患者表现出更大的血液动力学不稳定性 (更高的心率,增加了catecholamine的使用).
- 新发性肌痛 (80.5%) 和先前存在的肌痛 (86.8%) 的ICU存活率明显低于没有肌痛 (92.4%). AF是ICU死亡率的独立预测因素.
结论:
- 心房动,无论是新发病还是已经存在的,都与急症监护室存活率的降低有关.
- 在ICU中发展出新发性AF的患者需要在管理和随访方面给予高度关注.
- AF是ICU环境中死亡率的独立预测指标.
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