心脏性休克中短期死亡的预测因素:来自埃及多中心注册表的见解
Hesham S Taha1, Ahmed Gohar2, Walid Ammar3
1Department of Cardiology, Faculty of Medicine, Cairo University, 27 Nafezet Sheem El Shafae St Kasr Al Ainy, Cairo, 11562, Egypt. heshsalt@yahoo.com.
概括
心脏性休克 (CS) 影响埃及3.17%的患者,30天死亡率为39.7%. 恶化功能和高白细胞计数预测死亡,无论CS原因.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 心脏性休克 (CS) 是全球死亡的一个重要原因.
- 关于发展中国家的社会科学成果的数据有限.
- 埃及的第三级推中心在管理CS方面面临着挑战.
研究的目的:
- 调查埃及CS患者的30天全因死亡率.
- 确定CS相关死亡率的发生率,原因和预测因素.
- 分析缺血和非缺血CS之间的结果差异.
主要方法:
- 未来的,观察性的多中心注册表.
- 分析了6个心脏中心的16681名患者.
- 对529名被诊断为CS患者的死亡率预测因素的评估.
主要成果:
- 在埃及队列中,CS发病率为3.17%.
- 30天死亡率为39.7%,缺血和非缺血CS之间没有显著差异.
- 死亡率的预测因素包括糖尿病,功能恶化,以及非幸存者的多重异性质.
结论:
- 埃及的CS发病率为3.17%,无论病因如何,死亡率都相似.
- 30天死亡率的独立预测因素:功能恶化,白细胞计数,心脏骤停和血管压缩剂使用.
- 之前的ST升高心肌梗塞 (STEMI) 的死亡率高于较低的STEMI.
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