在早期与延迟的重新定位后,心脏植入式电子设备感染的风险
Noemi Schvartz1, Arian Haidary2, Reza Wakili2
1Cardiology Center/Cardiac Electrophysiology Division, Internal Medicine Clinic, University of Szeged, 6725 Szeged, Hungary.
Journal of cardiovascular development and disease
|April 26, 2024
概括
延迟心脏植入式电子设备 (CIED) 领导修订不会降低感染风险. 早期的重新干预显示了数值较低的感染率,这表明迅速的程序是安全和有效的CIED管理.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械技术 医疗器械技术
背景情况:
- 心脏植入式电子设备 (CIED) 需要及时干预,以解决问题.
- 延迟重定位有时用于避免感染,但缺乏证据.
- 评估重新操作时间对CIED感染风险的影响至关重要.
研究的目的:
- 评估延迟重定位是否会影响心脏植入式电子设备感染的风险.
- 为了比较早期 (≤1周) 和延迟 (>1周) CIED重新干预之间的感染率.
主要方法:
- 在两个欧洲中心对249名接受CIED重定位的患者进行了回顾性分析.
- 早期与延迟重新手术组在第一年内CIED感染几率比率的比较.
- 根据已知与CIED感染相关的风险因素进行统计调整.
主要成果:
- 85名患者 (34%) 进行了早期的重新干预 (中位数为2天),164人 (66%) 延迟了 (中位数为53天).
- 九个 (3.6%) CIED感染发生;率为1.2% (早期) 和4.9% (延迟),不显著的差异.
- 调整后的分析显示,感染风险没有显著差异 (aOR = 0.264,p=0.216).
结论:
- 对心脏植入式电子设备的延迟重定位似乎没有降低感染风险.
- 早期重新干预是一种可行的选择,观察到的感染率数量较低.
- 这项双中心研究表明,目前推迟CIED主要修订的做法可能没有好处.
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