临床变量与激进囊管切除术后发生的重大心脏不良事件相关
Aaron A Gurayah1, Ruben Blachman-Braun2, Christopher J Machado1
1University of Miami Miller School of Medicine Miami Florida USA.
BJUI compass
|April 18, 2024
概括
根基囊切除术 (RC) 后的主要不良心脏事件 (MACE) 与患者的年龄,肥胖,吸烟,心力衰竭和高血压有关. 较短的手术时间和仔细考虑这些因素可以帮助减少MACE的发生率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 激进囊切除术 (RC) 是用于膀癌的重大手术.
- 手术后主要心脏不良事件 (MACE) 对接受RC的患者来说是一个重大问题.
- 确定MACE的预测因子对于改善患者的治疗结果至关重要.
研究的目的:
- 调查临床因素与MACE发生在接受膀癌RC治疗的患者中之间的关联.
- 为了确定急性囊切除术后MACE的术前预测因子.
主要方法:
- 对2015-2020年国家外科质量改善计划数据库的回顾性分析.
- 包括接受了膀癌RC的患者.
- 多变量调整后勤回归用于识别MACE预测因子.
主要成果:
- MACE发生在5.1%的患者中.
- MACE的重要预测因素包括年龄增加,肥胖,目前的吸烟,先前存在的充血性心力衰竭,高血压和更长的手术时间.
- 增加年龄,肥胖和大陆尿路转移与血栓栓塞事件有关.
结论:
- 患者年龄,肥胖,吸烟,心力衰竭和高血压等因素的术前评估对于缓解RC患者的MACE风险至关重要.
- 尽量减少手术时间可能会降低MACE的风险,特别是血栓塞栓事件.
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