重症患者心房动:发生率和结果
Sofia B Paula1, André Oliveira2, João Melo E Silva2
1Cardiology Department, Barreiro Montijo Hospital Center, Barreiro, PRT.
Cureus
|April 1, 2024
概括
心房动 (AF) 影响15.8%的重症患者. 虽然AF与较高的原始死亡率有关,但调整后的分析显示,这些患者的短期或长期存活率没有显著差异.
科学领域:
- 临界护理医学 临界护理医学
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 在重症患者中经常观察到心房动 (AF),但其患病率和对结果的影响仍未得到充分研究.
- 在重症监护室 (ICU) 设置中了解AF的负担对于患者管理至关重要.
研究的目的:
- 确定新发病和慢性心房 (AF) 的患病率在入住非心脏ICU的重症患者中.
- 研究AF与短期 (医院出院) 和长期 (两年随访) 临床结果之间的关联.
主要方法:
- 一项回顾性,单中心的队列研究分析了1357名在54个月内被录入非心脏ICU的患者.
- 患者和没有AF的患者进行了比较,结果在医院出院和两年随访时进行评估.
- 倾向性得分匹配用于调整混因素并分析死亡率差异.
主要成果:
- 关键病患者中AF的患病率为15.8% (215/1357),其中142例为慢性AF.
- 与那些没有AF的患者相比,患有AF的患者在医院,一年和两年内死亡率较高.
- 在倾向分数匹配后,AF和非AF组之间的住院,一年和两年死亡率的显著差异不再被观察到.
结论:
- 在ICU中心房的患病率很大,影响15.8%的患者.
- 虽然原始死亡率在AF患者中较高,但调整后的分析表明,AF本身可能不是危急病患者死亡率的独立预测因素.
- 这些发现凸显了在评估FI的ICU患者的治疗结果时考虑患者的并发症和疾病严重性的重要性.
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