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在左心室辅助装置植入后 Delirium 的预后影响:一项回顾性研究
Paul Noufi1, Kelley M Anderson2, Nancy Crowell2
1Palliative Care, MedStar Harbor Hospital, Baltimore, MD; Georgetown University School of Medicine, Washington, DC.
概括
在接受左心室辅助装置 (LVAD) 植入的患者中, Delirium 诊断与更糟糕的结果有关. 这包括较高的死亡率和不利的排放处置,强调需要进一步研究和管理策略.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
背景情况:
- 痴呆症是重症患者发病率和死亡率的重要预测因素.
- 了解迷对接受左心室辅助器件 (LVAD) 植入的患者的影响对于改善护理至关重要.
研究的目的:
- 为了研究 Delirium 诊断和 LVAD 植入后患者的结果之间的关联.
- 为了比较患有 Delirium 和没有 Delirium 的患者之间的 植入前特征和LVAD 后结果.
主要方法:
- 在2016年1月至2020年12月期间接受LVAD的成年患者的回顾性分析.
- 在狂妄症和非狂妄症组之间比较预植入因素和结果 (死亡率,再灌输,停留时间,放出处置,再接收).
主要成果:
- 在361名LVAD接受者中,26.1%的人被诊断出狂妄症;年龄较大与狂妄症有关.
- 狂妄症的诊断与1个月,6个月和住院死亡率的增加相关 (P < 0.001).
- 痴呆症患者有更高的意外再灌输率 (P < 0.001) 和更低的出院回家的可能性 (P = 0.03).
结论:
- 在LVAD植入期间的 Delirium 与增加的死亡率和不良的术后结果有关.
- 研究结果表明,需要进行前性研究,以确认预后影响,并确定可修改的妄想风险因素.
- 早期诊断和基于证据的狂妄症管理对于改善LVAD患者的治疗结果至关重要.
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