在一个受到COVID-19严重打击的国家中维持血管接入反应
João Diogo Castro1, Paulo Almeida1, Clemente Sousa1
1Grupo de Estudos Vasculares, Portugal.
Portuguese journal of cardiac thoracic and vascular surgery
|March 18, 2024
概括
COVID-19大流行并没有显著减少血管接入手术或增加血液透析患者的血栓形成. 严格的安全措施保护员工免受感染.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 传染病流行病学 传染病流行病学
背景情况:
- COVID-19 流行病严重影响了全球医疗保健系统.
- 葡萄牙经历了严重的医疗保健中断.
- 血管研究集团 (GEV) 分析了其运营影响.
研究的目的:
- 评估COVID-19大流行对血管接入中心活动的影响.
- 为了比较大流行前和大流行期间的手术和预约数据.
- 评估疫情期间血栓发生率和工作人员感染率.
主要方法:
- 从2019年3月到2021年2月,回顾性研究分析了25个血液透析中心的2,495名患者.
- 数据分为非流行时期 (NPP) 和流行时期 (PP).
- 分析了手术,预约和血栓形成的数据;统计测试包括Shapiro-Wilk,Lilliefors,t-test和Wilcoxon.
主要成果:
- 总共记录了1756次手术和800次预约.
- 在大流行期间 (PP) 发生的手术 (48% vs 52%) 和预约 (47% vs 53%) 略有减少.
- 在月经期之间的手术中没有统计学上显著的差异;在PP (p=0.004) 中,预约明显较低. 血栓形成率相似,并且没有发生人员感染.
结论:
- 由GEV实施的严格及时措施在流行病期间保持了类似的临床和外科活动.
- 在大流行期间血管接入干预减少或血栓形成增加的假设没有得到数据的支持.
- 与流行病相关的安全协议有效地预防了工作人员的COVID-19感染.
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