通过霍恩斯菲尔德单位平均计算测量的胸部缩症预测了冠状动脉旁路移植的发病率和死亡率
Philipp Krombholz-Reindl1, Andreas Winkler1, Andreas Vötsch1
1Department of Cardiovascular and Endovascular Surgery, Paracelsus Private Medical University Salzburg, Salzburg, Austria.
概括
在手术前测量勃起器脊柱骨髓损伤,可以在冠状动脉旁路手术患者中检测出肉症. 石症与短期死亡率和并发症的增加有关,有助于进行手术前风险评估.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 手术瘤学手术瘤学
背景情况:
- 萨科佩尼亚和脆弱性越来越被认为是影响外科手术结果的重要因素.
- 术前评估肌肉健康对于优化大手术患者管理至关重要.
研究的目的:
- 评估通过霍恩斯菲尔德单位平均值评估的勃起器脊柱骨髓损伤的预后值,作为在接受冠状动脉旁路手术的患者中 Sarcopenia 的标志物.
- 为了确定萨尔科佩尼亚和术后发病率和死亡率之间的关联.
主要方法:
- 对479名接受冠状动脉旁路手术的患者进行了回顾性分析.
- 计算机断层扫描 (CT) 扫描用于测量第12个脊椎的勃起器脊柱肌肉密度.
- 肌肉密度较低的四分之一患者被归类为sarcopenic,并与非sarcopenic患者相比较.
主要成果:
- 萨科佩尼亚与更高的30天死亡率 (4.1%对0.8%) 和1年 (9.3%对3.1%) 和2年 (10.8%对4.2%) 的死亡率显著相关.
- 麻症患者的再输管率增加 (7.5%与1.1%相比),骨伤口感染 (7.5%与2.8%相比) 和急性损伤需要血液透析 (2.5%与0.4%相比).
结论:
- 由勃起器脊柱骨髓变症识别的sarcopenia与冠状动脉绕道手术后的短期死亡率和发病率增加有关.
- 在手术前测量勃起性脊柱骨髓损伤为这些患者的风险分层提供了一个简单而有价值的工具.
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