八十多岁的冠状动脉旁路移植:澳大利亚的经验
Liam Bibo1, Joshua Goldblatt1,2, Ryan Cohen3,4
1Department of Cardiothoracic Surgery, Fiona Stanley Hospital, Perth, Western Australia, Australia.
ANZ journal of surgery
|February 16, 2024
概括
冠状动脉旁路移植 (CABG) 在八十多岁的患者中显示了术后并发症的增加和更长的住院时间,但与年轻患者的生存率相似. 对于老年人来说,CABG仍然是一个安全和可行的选择.
科学领域:
- 心血管外科心血管外科
- 老年医学 老年医学
- 研究成果 研究成果 研究成果
背景情况:
- 八代患者代表着越来越多的接受心脏手术的人口.
- 在这个年龄组中评估冠状动脉旁路移植 (CABG) 的安全性和有效性至关重要.
研究的目的:
- 评估CABG后80岁患者的早期和中期发病率和死亡率.
- 为了比较CABG在八十多岁的结果与年轻的患者队列.
主要方法:
- 从2015年2月到2019年9月,对901名心脏手术患者进行了回顾性分析.
- 纳入标准:所有接受CABG的患者;排除标准:同时进行门或大动脉手术.
- 对37名八十岁患者和年轻患者的结果进行比较.
主要成果:
- 八重生患者的术后输血,急性损伤和心房动的发生率更高.
- 八十岁以上的人 (13.5%与4.7%) 返回手术室的比率更高.
- 尽管发病率增加,八岁以上的患者与年轻患者相比,在医院再入院,住院死亡率或1年死亡率方面没有显著差异.
结论:
- 冠状动脉绕道移植在八十多岁的患者中与术后发病率增加和停留时间延长有关.
- 在八十岁和年轻患者组之间,24个月和36个月的生存率是可比的.
- CABG是八十岁患者的安全有效的管理策略.
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