通过皮肤进行左心房附属体关闭后,早期和晚期重入医院
Kim Hoang Trinh1, Jorge Nuche1, Ignacio Cruz-González2
1Quebec Heart and Lung Institut, Quebec, Canada.
Revista espanola de cardiologia (English ed.)
|August 11, 2024
概括
在左心房附属器关闭 (LAAC) 后再入院是常见的,主要是由于出血和心力衰竭. 这些再接收增加了在程序后两年内死亡的风险.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 穿皮左心房尾关闭 (LAAC) 是抗凝药的替代方案,用于预防心房中风.
- 在LAAC之后,有关再接收率和预测指标的数据有限.
研究的目的:
- 为了确定LAAC后的早期 (≤30天) 和晚期 (31-365天) 再录取率.
- 为了确定重新接收的预测因素.
- 评估重新接收对患者结局的临床影响.
主要方法:
- 一项针对1419名接受LAAC.的患者的多中心研究.
- 随访时间中位数为33个月.
- 后勤和考克斯回归分析以确定再接收预测因素和影响.
主要成果:
- 18.1%的患者在一年内重新入院 (3.2%提前,14.9%迟).
- 常见的原因包括出血 (24.5%) 和心力衰竭 (20.6%).
- 再入院的预测因素包括先前的胃肠道出血,低体重指数,糖尿病,慢性病和先前的心力衰竭. 早期和晚期的 readmissions 增加了 2 年死亡风险.
结论:
- 在LAAC后的第一年内重新入院的情况很常见,主要是出血和心力衰竭.
- 患者的并发症显著影响再接收风险.
- 在LAAC之后的再接收与死亡率的增加有关.
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