缺血性中风后皮肤内镜胃口术的时间和结果
Shoma Bommena1, Pooja Rangan1, Joyce Lee-Iannotti2
1Department of Internal Medicine, University of Arizona College of Medicine-Phoenix, Banner University Medical Center, Phoenix, AZ, USA.
Gastroenterology research
|January 8, 2024
概括
经皮内镜胃口切除术 (PEG) 在缺血性中风后的时间没有影响死亡率或并发症. 晚期PEG安置显示了更好的吞恢复,这表明这种干预措施的患者选择有所改善.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 缺食症管理指南建议在中风后两周进行皮肤内镜胃口 (PEG) 放置.
- 在缺血性中风后,PEG插入时间对患者结果的影响需要进一步调查.
研究的目的:
- 为了评估早期与晚期皮肤内镜胃口管 (PEG) 放置对缺血性中风患者的结果的影响.
主要方法:
- 在2014年至2019年期间接受PEG安置的161名缺血性中风患者的回顾性分析.
- 早期PEG被定义为在中风发作后14天内放置;晚期PEG是在14天后.
- 使用逻辑回归,在早期和晚期的PEG组之间比较30天死亡率,与PEG相关的并发症和功能性吞恢复.
主要成果:
- 平均PEG安置时间为10.9天,其中60.9%接受了早期PEG.
- 早期PEG与护理机构的出院和感染有关.
- 晚期PEG表明吞恢复的几率是3.27倍,死亡率或并发症没有显著差异.
结论:
- 早期的PEG预测因素包括熟练的护理设施配置和缺乏感染.
- 晚期PEG显示了更好的吞恢复,可能是由于更好的患者选择.
- 在缺血性中风患者中,PEG时间没有显著影响短期死亡率或并发症率.
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