对AUB-HAS2心血管风险指数在急诊和选择性手术中的表现进行比较
Eman Sbaity1, Hani Tamim1, Nader G Zalaquett1
1American University of Beirut Medical Center, Beirut, Lebanon.
Journal of cardiology
|February 21, 2024
概括
AUB-HAS2心血管风险指数有效地分层了紧急和选择性手术的风险. 这种经过验证的工具显示出良好的区分能力,有助于术前心血管评估.
科学领域:
- 心血管外科心血管外科
- 手术风险评估手术风险评估
- 医疗保健服务研究 医疗服务研究
背景情况:
- AUB-HAS2心血管风险指数是一种用于手术前心血管风险评估的新工具.
- 它包含六个关键数据元素:心脏病史,心痛/呼吸障碍症状,年龄≥75,血红蛋白<12 g/dL,血管手术和急诊手术.
研究的目的:
- 为了比较AUB-HAS2指数在紧急情况下的性能和风险分层能力,与可选的非心脏手术相比.
- 评估指数在不同外科手术场合的分辨力.
主要方法:
- 来自美国外科医生学院国家外科质量改进计划数据库的1,167,414次非心脏手术的分析.
- 根据六个风险因素的存在,患者被分配了一个AUB-HAS2得分.
- 测量结果包括30天死亡率,心肌梗塞和中风.
主要成果:
- AUB-HAS2指数表明,急诊 (7.0%) 和选择性 (1.4%) 手术队伍的风险逐渐增加,得分更高 (p<0.0001).
- 该指数在两组中表现出良好的和可比的歧视力,急诊的AUC为0.804,选择性手术的AUC为0.791.
- 与选择性手术相比,在紧急手术中观察到更高的不良结果发生率 (p<0.0001).
结论:
- AUB-HAS2指数是一种多功能和有效的工具,用于在紧急和选择性手术患者中分层心血管风险.
- 该指数具有良好的区分能力,在各种不同的外科手术环境中同样有用.
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