波兰传染性内心炎注册表 (POL-ENDO) 的初步结果:改变临床实践的时间?
Jakub W Orzech1, Karina Zatorska1, Maciej Grabowski1
1Department of Valvular Heart Disease, National Institute of Cardiology, Warszawa, Poland.
Kardiologia polska
|April 22, 2024
概括
波兰感染性内心炎 (IE) 患者年龄较大,并患有更多的并发病,导致使用先进成像和手术的频率较低. 这导致与欧洲数据相比,住院死亡率更高.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 传染性内心炎 (IE) 是一种严重的膜性心脏病,具有显著的发病率和死亡率.
- 了解IE患者个人资料和结果的区域差异对于改善护理至关重要.
研究的目的:
- 评估波兰IE患者的患者特征和治疗结果.
- 将波兰IE数据与更广泛的欧洲趋势进行比较.
主要方法:
- 在134家波兰医院进行了前性多中心观察队列研究 (POL-ENDO注册表).
- 关于人口统计,临床表现,成像和结果的数据从2022年8月到2023年8月收集.
- 波兰的数据与EURO-ENDO注册表 (2016年1月 - 2018年3月) 的数据进行了比较.
主要成果:
- 波兰IE患者年龄较大 (61.4岁与59.25岁相比),并更频繁地患有本地膜IE (82.3%与56.6%相比).
- 在波兰,胸外心电回声更为常见,而高级成像 (CT,MRI) 较少出现.
- 在波兰,心力衰竭率较高 (31.4%对14.1%),手术频率较低 (36.9%对51.2%) 和住院死亡率增加 (21%对17%).
结论:
- 波兰IE患者呈现出不同的特征,包括年龄较大和更多的并发症.
- 在波兰,较少使用先进的成像和手术干预与较高的住院死亡率有关.
- 这些发现突出了改善波兰IE管理的潜在领域.
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