在因SARS-CoV-2住院的人群中,心律失常的预测因素
Endurance Evbayekha1, Chidubem Ezenna2, Evidence Eseose Ohikhuai Bpharm3
1Department of Internal Medicine, St. Luke's Hospital, St. Louis, MO, US.
Current problems in cardiology
|August 13, 2024
概括
确定了住院COVID-19患者心律失常的预测因素. 关键因素包括恶性鼻综合征,脂质不良,心脏骤停,机械呼吸和肥胖,这对风险分层至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 有限的研究存在于与SARS-CoV-2 (COVID-19) 住院患者的心律失常的预测因子.
- 了解这些预测因素对于有效的风险分层和患者管理至关重要.
研究的目的:
- 确定住院COVID-19患者心律失常的独立预测因子.
- 为这个人群提供风险分层和临床管理策略的信息.
主要方法:
- 利用2020年国家住院样本 (NIS) 数据库用于COVID-19入院.
- 使用 1:1 倾向性得分匹配 (PSM) 来控制基线差异.
- 应用多变量逻辑回归来确定心律失常的独立预测因子.
主要成果:
- 分析了超过100万例COVID-19入院病例;心房动是最常见的心律失常 (15.1%).
- 后PSM,恶性鼻综合征,脂质障碍,心脏骤停,侵入性机械呼吸和肥胖是心律失常的显著独立预测因素 (p<0.0001).
结论:
- 在住院的COVID-19患者中,很大一部分患有心律失常.
- 脱脂症,肥胖,恶性鼻综合征,侵入性机械呼吸和心脏骤停独立地预测了这个队列中的心律失常.
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