在接受无心脏起器植入的患者中需要干预的心周输液:来自国家住院患者样本数据库的现实世界分析
Muhammad Zia Khan1, Yasar Sattar1, Waleed Alruwaili1
1Division of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, West Virginia.
Heart rhythm O2
|May 1, 2024
概括
需要干预的心周溢出发生在1.1%的无心脏起器植入物中. 这种并发症与增加的死亡率,更长的住院时间和更高的成本有关,这凸显了需要提高风险因素意识的必要性.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 患者安全 患者安全
背景情况:
- 需要干预的心周输液是无心脏起器植入后的重大并发症.
- 了解其患病率和风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定无心脏起器植入后需要干预的心脏外流的现实世界流行情况.
- 为了确定与这种并发症相关的患者特异性风险因素.
- 分析与需要干预的心周溢出相关的住院结果.
主要方法:
- 使用了国家住院样本数据库 (2016-2020年) 与国际疾病分类-第十次修订代码.
- 确定了接受无心脏起器植入的患者.
- 评估患病率,手术并发症,住院结果和心周溢血的预测因素.
主要成果:
- 需要干预的心周输液发生在1.1%的病例 (325名患者) 中.
- 预测因素包括晚年 (>75岁),女性性别,凝血病,慢性肺病,慢性病和结缔组织疾病.
- 这种并发症独立地与增加的死亡率 (OR 5.66),延长住院时间 (OR 1.36) 和更高的住院费用 (OR 2.49) 相相关.
结论:
- 在美国,无心脏起器植入后需要干预的心脏外泄的患病率为1.1%.
- 特定的患者特征预测了显著心周溢出的发展.
- 需要干预的心周溢出与不良的医院治疗结果有关,强调需要警监测和风险评估.
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