在选择性神经外科患者中,术前心脏自主功能障碍的患病率和预测因素:一项前性观察性研究
R P Sangeetha1, Dhritiman Chakrabarti1, Kamath Sriganesh1
1Department of Neuroanesthesia and Neurocritical Care, NIMHANS, Bangalore, Karnataka, India.
Indian journal of anaesthesia
|April 8, 2024
概括
手术前的心脏自主功能障碍 (CAD) 在印度神经外科患者中非常普遍,影响近80%. 在这项研究中,没有人口或临床因素预测了这种功能障碍.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 生理学 生理学 生理学
背景情况:
- 自主神经系统 (ANS) 对于维持身体平衡至关重要.
- 自主功能障碍,特别是心脏自主功能障碍 (CAD),在手术患者中很常见,可能导致不良结果.
- 在接受选择性神经外科手术的印度患者中,CAD的患病率和预测因素以前是未知的.
研究的目的:
- 确定在印度选用神经外科患者中手术前心脏自主功能障碍 (CAD) 的患病率.
- 在这个患者群体中确定CAD的预测因子.
主要方法:
- 一个单一中心前性观察性研究,涉及400名接受选择性神经外科手术的成年患者.
- 术前自主神经系统 (ANS) 功能使用ANSiscopeTM衍生的心率变化指数进行评估.
- 如果心脏自主功能障碍 (CAD) 的ANS指数超过13.5,则诊断出心脏自主功能障碍;从患者记录中收集预测因素.
主要成果:
- 手术前心脏自主功能障碍 (CAD) 的患病率为79.7% (319/400名患者).
- 没有研究的人口或基线临床特征被发现可以预测这个队列中的CAD.
结论:
- 在印度的选择性神经外科患者中,术前心脏自主功能障碍 (CAD) 的患病率很高.
- 评估的人口和临床参数没有预测本研究人群中的CAD.
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