最长发声时间对术后失足症和心脏手术后预后的影响
Masato Ogawa1,2,3, Seimi Satomi-Kobayashi4, Mari Hamaguchi5
1Department of Rehabilitation Science, Osaka Health Science University, Osaka, Japan.
JTCVS open
|May 1, 2024
概括
最大发声时间 (MPT) 可以预测心脏外科手术患者的术后消化不全 (PED) 和主要心脏和脑血管不良事件 (MACCE). 较低的MPT (<10秒) 显著增加MACCE风险,有助于术前评估.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
背景情况:
- 接受心血管手术的老年人群面临手术后并发症的风险增加,包括失症.
- 早期识别患有脱后食障碍 (PED) 和主要心脏和脑血管不良事件 (MACCEs) 风险的患者对于改善结果至关重要.
研究的目的:
- 评估最大发音时间 (MPT) 作为预测工具,用于PED和MACCE在接受选择性心脏手术的患者中.
- 评估术前MPT与术后并发症发生率之间的关联.
主要方法:
- 对442名接受心脏手术的患者进行了回顾性分析.
- 在手术前测量最大发音时间 (MPT).
- 将患者分为正常和异常MPT组进行分层.
- 术后并发症的评估,包括PED (使用食物摄入水平量表) 和MACCEs.
主要成果:
- 异常的MPT与PED的更高患病率有关 (18.0%对11.0%,P=.01).
- 虚弱,较高的EuroSCORE II,PED和较低的MPT与MACCE有显著的相关性.
- 调解分析表明MPT会影响PED和MACCE,而PED会影响MACCE.
- 对于MACCE的危险比率在MPT<10秒时急剧增加.
结论:
- 最大发声时间 (MPT) 显示出作为心脏外科手术中宝贵的术前评估工具的潜力.
- 纳入MPT可以帮助识别PED和MACCE的高风险患者,从而实现有针对性的干预.
- 手术前的MPT评估可以改善患者的治疗结果,并降低与并发症相关的医疗费用.
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