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在经皮冠状动脉干预后,晚期慢性病患者的住院患者死亡率较高
Mohammad Reza Movahed1,2, Sina Aghdasi1, Madhan Shanmugasundaram1
1College of Medicine, University of Arizona Sarver Heart Center, Tucson.
Coronary artery disease
|June 20, 2024
概括
经过皮肤冠状动脉干预 (PCI) 的晚期慢性病 (ACKD) 患者面临更高的住院患者死亡率. 这些发现凸显了在ACKD患者的PCI手术中需要更加谨慎.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 健康 结果 研究 研究 结果
背景情况:
- 晚期慢性病 (ACKD) 在接受皮肤冠状动脉干预 (PCI) 的患者中很普遍.
- ACKD与不良结果有关,但这些患者通常被排除在重血管化研究之外.
- 了解ACKD对PCI结果的影响对于患者护理至关重要.
研究的目的:
- 评估晚期慢性病 (ACKD) 对接受皮肤冠状动脉干预 (PCI) 的患者的影响.
- 为了比较接受PCI的ACKD和非ACKD患者之间的住院死亡率.
主要方法:
- 2006年至2011年国家住院患者样本数据库的分析.
- 使用ICD-9 CM代码识别经过PCI的ACKD患者 (CKD第3阶段及以上) 和非ACKD患者.
- 两组之间年龄调整的住院患者死亡率的比较.
主要成果:
- 超过180万个PCI进行,其中6.2%是ACKD患者.
- 在所有研究年份中,ACKD患者的年龄调整住院患者死亡率显着更高 (例如,2006年为149/100,000,而48/100,000).
- 在多变量调整后,ACKD独立预测了更高的死亡率 (OR: 1.32,CI: 1.27-1.36,P < 0.001).
结论:
- 晚期慢性病是PCI患者住院死亡率增加的独立预测因素.
- 患有ACKD的患者的PCI程序需要提高警和谨慎管理.
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