面外科手术中的外科手术期心脏不良事件:系统性审查和元分析
Mehak Chohan1, Winnie Liu2, Tumul Chowdhury3
1Department of Health Science, Queen's University, Kingston, ON, Canada.
Indian journal of anaesthesia
|May 20, 2024
概括
不良心脏事件 (ACE) 在2.58%的面手术中发生,心律障碍是最常见的. 这些事件往往导致重症监护室的入院,影响患者的结果.
科学领域:
- 心脏病学 心脏病学
- 口腔和牙面部外科手术
- 麻醉学 麻醉学
背景情况:
- 面手术在成年人中很常见,但存在心脏不良事件 (ACE) 的风险.
- 与其他非心脏手术相比,与大面部手术相关的外科手术期间ACEs的数据有限.
- 了解这些风险对于患者安全和手术规划至关重要.
研究的目的:
- 系统地审查和元分析手术前期ACE在面外科手术中的发生率和表现.
- 为了对ACE进行分类,以标准化报告和分析.
- 评估ACEs对手术结果的影响.
主要方法:
- 对报告成年大面外科手术患者外科手术期间ACE的初级研究的系统综述和元分析.
- 将ACE分类为心率/心律障碍,血压障碍,缺血性心脏病和心力衰竭.
- 使用STATA版本17.0和MetaProp进行统计分析,以确定95%置信区间的发病率和效应大小.
主要成果:
- 分析了12项涉及34,227名患者的研究.
- 术后ACE的总发病率为2.58% (95%CI为1.70,3.45). 术后ACE的总发病率为2.58% (95%CI为1.70,3.45).
- 心率和节律障碍是最常见的ACE (3.84%),通常导致重症监护室的入院 (Clavien-Dindo分数为4).
结论:
- 虽然ACE发生在2.58%的病例中,但可以显著影响面手术中的外科结果.
- 需要进一步进行大规模的前性研究,以阐明在这种患者群体中ACEs的促成因素和长期影响.
- 加强警和了解心脏风险对于接受大面部手术的患者至关重要.
关键词:
成年人 成年人 成年人 成年人 成年人 成年人节律失常可能是心律失常.血压 血压 血压 血压这是心脏病,心脏病.心脏停止了,心脏停止了.心脏衰竭是因为心脏衰竭.心率是指心率是如何发生的.发生率的发生率.在手术期间出现的并发症.面外科手术 面外科手术心肌梗塞的心脏病发作心肌缺血症是什么心肌缺血症在外科手术期间的护理.在外科手术期间.这是一个反射的反射反射反射.这种心脏病是Trigeminocardiac.更多相关视频
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