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Farzad Darabi^1,2, Nigel S Tan^1,2, Katherine S Allan^1,2

¹Division of Cardiology, St. Michael's Hospital, Toronto, Ontario, Canada.

|June 7, 2024

概括

在潜在有资格接受二次预防的非医院心脏骤停 (OHCA) 幸存者中,可植入式心脏转换器除器 (ICD) 的使用正在增加,但仍未得到充分利用. 这一趋势凸显了OHCA患者在指导方针一致的护理方面的持续差距.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

医院外心脏骤停 (OHCA) 的幸存者面临着重复事件的高风险.
建议在符合条件的OHCA患者中用于二次预防的可植入心脏转心器除器 (ICD).
目前关于OHCA幸存者的指导方针一致的ICD使用的数据有限.

研究的目的:

为了确定可能有资格接受二次预防的OHCA幸存者中ICD植入率.
分析ICD植入的趋势和差异随着时间的推移和医疗保健环境.

主要方法:

加拿大卫生信息研究所放学摘要数据库 (2013-2017) 的回顾性分析.
包括存活到出院的OHCA患者,但不包括患有缺血或心病因的患者.
在潜在的合格患者中估计ICD植入率.

主要成果:

在4,486名OHCA幸存者中,有2,580人 (57.5%) 可能有资格获得ICD.
在符合条件的患者中,只有757人 (29.3%) 获得了ICD.
ICD植入率从13.8% (2013年) 增加到19.6% (2017年),城市和教学医院的比例更高.

结论:

尽管有越来越多的趋势,但在符合条件的OHCA幸存者中,ICD的使用仍然明显不足.
基于地理位置和医院类型,ICD植入的差异存在.
需要进一步努力,以确保OHCA患者的指导方针一致的护理.

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