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外体膜氧化相关并发症对住院死亡率的影响
Eunae Byun1,2, Pil Je Kang3, Sung Ho Jung3
1Division of Vascular Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
PloS one
|March 25, 2024
概括
血管和脑血管问题等体外膜氧化 (ECMO) 并发症并没有增加成人患者在医院死亡的风险. 关键的死亡预测因素包括年龄,心肺复苏和置换疗法,而不是ECMO并发症本身.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 血管外科 血管外科
背景情况:
- 体外膜氧化 (ECMO) 对于严重的心肺衰竭至关重要,但具有很高的发病率和死亡率.
- 识别ECMO相关并发症预测因素可以改善患者的治疗结果并降低死亡率.
研究的目的:
- 评估成年ECMO患者血管和脑血管并发症的预测因素.
- 为了确定ECMO相关的并发症是否与增加的住院死亡率相关.
主要方法:
- 856个ECMO的回顾性单中心研究在769名成年患者中进行.
- 包括静脉动脉 (VA) ECMO和静脉 (VV) ECMO,通过大腿血管进行道化.
- 分析了血管/脑血管并发症和住院死亡的发生情况.
主要成果:
- 血管并发症发生率: 20.2%;脑血管: 13.6%.
- 总体住院死亡率:48.7% (VA ECMO 52.8%,VV ECMO 29.3%). 医院住院死亡率为48.7% (VA ECMO 52.8%,VV ECMO 29.3%). 医院住院死亡率为48.7% (VA ECMO 52.8%,VV ECMO 29.3%). 总体住院死亡率为48.7% (VA ECMO 52.8%,VV ECMO 29.3%). 医院住院死亡率为48.7%,总体住院死亡率为48.7% (VA ECMO 52.8%,VV ECMO 29.3%).
- 年龄,心肺复苏,连续置换疗法和低血小板数量预测死亡率,而不是ECMO并发症.
结论:
- 与ECMO相关的血管和脑血管并发症与更高的住院死亡率没有独立相关.
- ECMO患者的死亡率与年龄和并发症等因素有关,而不是并发症本身.
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