一个追溯的,多机构的"目标试验仿真"用于比较复苏后的上腺素与诺亚上腺素
Tanner Smida1, Remle P Crowe2, P S Martin3
1West Virginia University, MD/PhD Program, Morgantown, WV, USA.
Resuscitation
|April 6, 2024
概括
在ROSC后的上腺素输注并没有增加OHCA患者的复发或死亡率,而不是与上腺素相比. 这项研究比较了医院外心脏骤停幸存者的血管压缩剂使用情况.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 临床试验 临床试验
背景情况:
- 上腺素和上腺素是OHCA的常见的医院前血管压缩剂.
- 之前的研究表明,在ROSC后的上腺素与上腺素之间,可能会增加复发和死亡率.
研究的目的:
- 使用目标试验仿真,在ROSC后的OHCA患者中比较上腺素和诺拉上腺素输注之间的复发和死亡率.
主要方法:
- 分析了接受后ROSC血管压缩剂的成年非创伤性OHCA患者 (2018-2022年).
- 使用后勤回归和多变量考克斯回归模型,根据临床因素和生命体征进行调整.
主要成果:
- 分析了1893名患者,53.4%接受了上腺素,46.7%接受了上腺素.
- 经过调整后的分析显示,血管压缩剂类型与复发 (aOR:0.93) 或死亡率 (aOR:1.00) 之间没有显著的关联.
结论:
- 在OHCA患者中,复苏后的上腺素输液与与上腺素相比,复发的几率没有增加.
- 研究结果表明,在这种情况下,上腺素和上腺素的安全性概况类似.
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