超越时间线:早期与晚期假内心炎的1年死亡趋势
Matthaios Papadimitriou-Olivgeris1,2, Bruno Ledergerber3, Berit Siedentop3
1Infectious Diseases Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
概括
假内心炎 (PVE) 的一年死亡率为31%. 早期PVE (6个月内) 没有比晚期PVE更糟糕的结果,尽管类似的重复门手术率.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 心脏外科手术 心脏外科手术
背景情况:
- 假发内心炎 (PVE) 是置换手术后的一种严重并发症.
- 了解预后因素,包括发病时间,对于患者管理至关重要.
研究的目的:
- 评估与假内心炎 (PVE) 相关的一年死亡率.
- 为了比较早期发病PVE (手术后6个月内) 和晚期发病PVE之间的结果.
主要方法:
- 对302例假内心炎的回顾性分析.
- 早期发病和晚期发病PVE组之间的1年死亡率的比较.
- 在早期和晚期PVE类别中评估重置门手术率.
主要成果:
- 对PVE的整体1年死亡率为31%.
- 在早期发病的PVE (21%) 和晚期发病的PVE (32%;P = .126) 之间没有观察到1年死亡率的显著差异.
- 在PVE发病早期和晚期的两组中,重新门手术的发生率相似.
结论:
- 假内心炎的发病时间 (早期或晚期) 似乎没有显著影响1年死亡率.
- 假内心炎带有相当大的死亡风险,无论发病时间如何.
- 进一步的研究可能会探索影响PVE结果的其他因素.
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