COVID-19对心脏手术结果的影响
Danica Mandić1, Aleksandra Milovančev2, Aleksandar Redžek2
1Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia.
Cardiovascular journal of Africa
|February 26, 2024
概括
心脏外科手术患者患有术前COVID-19面临的死亡率和并发症显著增加. 最近从COVID-19中恢复过来的患者经历了手术后肺栓塞和心房的风险增加.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 外科手术的结果
背景情况:
- COVID-19 感染可以影响各种器官系统,包括心血管系统.
- 了解最近或术前COVID-19患者的心脏手术相关的风险对于患者管理至关重要.
研究的目的:
- 评估COVID-19感染对心脏手术结果的影响.
- 为了比较COVID-19外科手术期患者,COVID-19后康复和历史非COVID-19队列之间的结果.
主要方法:
- 预计将招募95名COVID-19后患者和25名经过心脏手术的COVID-19外科患者.
- 与 280 名非COVID-19患者的历史队列进行比较.
- 主要终点:全因死亡率;次要终点:术后并发症.
主要成果:
- 术后COVID-19组的全因死亡率 (28%vs4.3%) 和复合并发症 (52%vs13.9%) 显著较高.
- 在COVID-19后的组中,急性肺栓塞 (3.2%vs0%) 和心房动 (23.4%vs11.4%) 的发生率增加.
结论:
- 术前COVID-19显著增加了心脏手术后的死亡率和并发症.
- 最近康复的COVID-19患者的心脏手术与肺栓塞和心房动的更高率有关.
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