患有外周动脉疾病的患者进行重血管化或截肢的普遍死亡原因
Stacey Telianidis1, Sarah Joy Aitken2
1Master of Surgery Student, Vascular Surgery at The Austin Hospital, University of Sydney, and Unaccredited Vascular Surgery Registrar, The Austin Hospital Melbourne, Melbourne, VIC, Australia.
了解外周动脉疾病 (PAD) 手术中的死亡原因至关重要. 心血管疾病是主要的原因,但癌症和呼吸系统问题也令人担忧.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 医学文献分析 医学文献分析
背景情况:
- 周围动脉疾病 (PAD) 患者的过早死亡需要了解死亡原因 (COD).
- 对PAD的外科干预旨在改善结果,但死亡率仍然令人担忧.
- 准确报告COD对于患者管理和研究至关重要.
研究的目的:
- 审查和描述为外周动脉疾病 (PAD) 进行手术的患者的短期和长期死亡原因 (COD).
- 评估COD在PAD手术现有文献中的报告质量.
- 为了确定了解PAD干预后死亡率模式的知识差距.
主要方法:
- 按照PRISMA指南进行的文献审查.
- 包括的研究报告COD后开放的外科手术或内血管再血管化,或截肢PAD.
- 使用乔安娜·布里格斯研究所工具对包括的研究进行批判性评估.
主要成果:
- 有21个出版物报告了COD;大多数是观察性研究.
- 心血管疾病是外科期间 (42.5%) 主要的COD.
- 长期死亡率经常与心脏病相关,但瘤,呼吸系统疾病,中风和败血症也很普遍. 研究质量往往很低.
结论:
- 心血管病因是PAD手术患者的主要死亡率驱动因素.
- 死亡的很大一部分是由于瘤和呼吸系统疾病造成的.
- 加强COD在PAD研究中的报告标准至关重要.
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