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与外腔室排水相关的出血相关的风险因素和结果
Sonora Andromeda Windermere1, Yusuf Mehkri2, Sandra C Yan2
1Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL, USA; Department of General Surgery, University of Florida, Gainesville, FL, USA.
Clinical neurology and neurosurgery
|June 20, 2024
概括
重复的外部心室排水 (EVD) 替换会增加出血的风险. 与埃博拉病毒相关的出血与较高的死亡率和较低的家庭出院率有关.
科学领域:
- 神经外科 神经外科
- 医疗器械安全 医疗器械安全
- 患者的治疗结果.
背景情况:
- 外腔室排水管 (EVDs) 对于控制内压力至关重要.
- 出血是已知的EVD放置的并发症.
- 与EVD相关的出血相关的预测因素和结果需要进一步调查.
研究的目的:
- 为了确定外腔室排水 (EVD) 相关出血的危险因素.
- 评估与埃博拉病毒相关的出血与死亡率,出院处置,停留时间和成本的关联.
主要方法:
- 从2015年至2018年接受EVD安置的成人患者的回顾性分析.
- 对人口统计,程序前和程序后数据的审查.
- 独立审查CT扫描和报告以确定出血.
主要成果:
- 在487名患者中,出血发生在17.5%的患者中.
- 多变量分析确定重复的EVD替换是出血的显著预测因素 (OR=2.78).
- 与埃博拉病毒相关的出血与增加的死亡率 (OR=3.58) 和降低家庭出院的可能性 (OR=0.13) 相相关.
结论:
- 替代EVD的数量是与出血风险相关的关键因素.
- 与埃博拉病毒相关的出血会对患者的结果产生不利影响,包括增加死亡率和减少家庭出院.
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