儿童心脏手术的最佳全球纵向应变值:大学医院的见解
Sofía Melo1, Sergio Alzate-Ricaurte2, Santiago Pedroza2
1Departamento de Anestesiología, Facultad de Medicina, Universidad Icesi, Calle 18 No. 122-135, 760031, Cali, Colombia.
Pediatric cardiology
|February 29, 2024
概括
全球纵向菌株 (GLS) 有效预测儿科先天性心脏手术患者的30天死亡率. 较低的手术前GLS表明风险更高,为更好的患者护理和结果提供信息.
科学领域:
- 心脏病学 心脏病学
- 儿科心脏手术 儿科心脏手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 在全球范围内,先天性心脏病影响着数百万人,在儿科护理中风险评估工具有限.
- 准确预测术后结果对于管理患有先天性心脏病的儿科患者至关重要.
研究的目的:
- 研究心脏手术的儿科患者的全球纵向应变 (GLS) 和术后结果之间的关联.
- 建立GLS在评估30天死亡风险时的预测截止点.
主要方法:
- 89名儿科患者 (<18岁) 接受心脏外科手术,心肺旁路 (CPB) 的前性观察性研究.
- 用于CPB前后GLS测量的跨食道回声心脏学.
- 接收器运行特征曲线分析,以确定GLS死亡风险切线点.
主要成果:
- 全球纵向菌株 (GLS) 在预测30天死亡率方面表现出有效的区分能力 (AUC > 0.70).
- 在CPB前的GLS显示出最强的预测能力 (AUC0.833) 截止值为12.
- 较低的CPB前GLS值与增加的血管活性-异能支持和更长的机械通风相关.
结论:
- 全球纵向应变 (GLS) 测量是一种可重复的方法,用于评估儿童心脏外科手术中的心室功能.
- 手术前的GLS显示出作为预测死亡风险的预后工具的巨大潜力.
- 这项研究为该人群提供了手术前,手术后和指数GLS的初始切断点.
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