在选择性动脉复血管化后,长时间停留的预测因素
Hanaa D Aridi1, Brandon Leon1, Michael P Murphy1
1Division of Vascular Surgery, Indiana University School of Medicine, Indianapolis, IN.
Journal of vascular surgery
|May 19, 2024
概括
在动脉复血管化后,延长停留时间 (pLOS) 影响了近23%的患者,主要是由并发症驱动的. 识别pLOS预测因素可以改善患者的治疗结果和护理质量.
科学领域:
- 血管外科 血管外科
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 手术后的第一天排泄是动脉再血管化的关键质量指标.
- 预测长期住院时间 (pLOS) 对于优化患者护理和资源配置至关重要.
研究的目的:
- 为了确定长时间停留 (pLOS) 的预测因素,定义为>1天,在选择性动脉再血管化程序后.
- 分析导致pLOS的因素,包括动脉末端切除术 (CEA),跨动脉复血管化 (TCAR) 和输血动脉支架 (TFCAS).
主要方法:
- 分析了来自血管质量倡议 (2016-2022) 的118,625例选择性动脉复血管化病例.
- 采用多变量逻辑回归来确定每个手术类型的pLOS显著预测因素.
主要成果:
- 近23.2%的患者患有pLOS,主要不良事件是主要的驱动因素.
- 预测PLOS的预测因素包括患者人口统计学,并发症,表现和手术日和医生体积等程序因素.
- 在所有三种手术 (CEA,TCAR,TFCAS) 中,pLOS与1年死亡率的增加显著相关.
结论:
- 延长停留时间 (>1天) 是大脑动脉再血管化后的一个显著结果.
- 与程序相关的并发症是导致PLOS的主要原因.
- 识别有风险的患者可以制定有针对性的质量改善策略,以提高短期和长期的结果.
关键词:
冠状动脉末端切除术 (Carotid endarterectomy) 是一种切除术.冠状动脉复血管化治疗逗留时间 逗留时间质量改善 质量改善风险因素 风险因素穿越动脉的重血管化关节关节动脉支架 关节动脉支架更多相关视频
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