可修改的风险因素,即时和长期的结果在可操作和不可操作的左侧传染性内心炎
Jing-Bin Huang1, Chang-Chao Lu1, Zhao-Ke Wen1
1Department of Cardiothoracic Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, and Guangxi Academy of Medical Sciences, 6 Taoyuan Road, Nanning, 530021, Guangxi, China.
Heliyon
|June 17, 2024
概括
左侧传染性内心炎的结果取决于及时治疗和手术干预. 可修改的风险因素,如神经并发症和肌水平影响死亡率,强调早期诊断和密切跟踪,以改善生存率.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 左侧传染性内心炎 (IE) 具有显著的死亡风险.
- 了解可手术和不可手术患者的结果至关重要.
- 识别可修改的风险因素可以改善患者的生存率.
研究的目的:
- 为了评估可手术和不可手术的左侧感染性内心炎的结果.
- 确定IE患者立即和长期死亡的可修改风险因素.
主要方法:
- 从2006年1月到2022年11月的左侧IE患者的回顾性研究.
- 对住院死亡和长期死亡率的分析.
- 确定死亡率和器官衰竭的危险因素.
主要成果:
- 发生了48例住院死亡 (5.8%).
- 入院时间和神经复杂症是器官衰竭的危险因素.
- 手术前的并发症,肌素水平和植被大小影响了死亡率.
结论:
- 早期诊断和治疗对于左侧IE的更好的结果至关重要.
- 改善外科手术技术和患者监测是必不可少的.
- 建议对可手术和不可手术的患者进行密切的随访.
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