住院跨导管大动脉置换后结果的时间趋势
Steven Imburgio1, Sara Hazaveh1, Lauren Klei1
1Jersey Shore University Medical Center, Department of Medicine, 1945 NJ-33, Neptune City, NJ 07753, United States of America.
概括
过导管大动脉置换 (TAVR) 显示改善了家庭出院率和减少了30天的再入院. 对于TAVR患者的手术安全性和术后护理可能已经取得了进展,尽管心脏骤停仍然是一个罕见的并发症.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 越来越多的人采用过导管大动脉置换 (TAVR).
- 有限的临床数据存在于TAVR程序安全和释放实践.
研究的目的:
- 评估TAVR后手术后临床结果的时间趋势.
- 评估TAVR后排放处置和再接收率的改善情况.
主要方法:
- 使用国家再接收数据库 (2016-2020) 进行回顾性队列研究.
- 包括住院的TAVR程序.
- 主要结局:出院回家的趋势;次要结局:存活率,30天再入院,住院时间,心脏骤停率.
主要成果:
- 分析了超过31,000个TAVR程序.
- 家庭排放量从2016年的74.5%增加到2020年的85.9% (或2.01).
- 30天的再入院率从14.0%降至10.3%;心脏骤停率保持在1.8%的稳定水平.
结论:
- 大多数TAVR患者成功地获得了家庭出院.
- 减少30天再入院表明TAVR护理途径有所改善.
- 术后心脏骤停是一种罕见但高死亡率的并发症.
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