伴随性疾病对无心脏起器患者的并发症率和预期寿命的影响
Tardu Özkartal1, Alessia D'Alto2, Marco Bergonti1
1Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland.
International journal of cardiology
|August 16, 2024
概括
在老年患者中,无心脏起器植入是安全的,即使伴随性疾病高. 低并发病率 (CCI ≤3) 的患者的死亡率与一般人群相似.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 老年病的医生 老年病的医生
背景情况:
- 关于无心脏起器 (LPM) 对患者年龄和并发症的结果的数据有限.
- 了解这些因素对于优化患者选择和管理至关重要.
研究的目的:
- 研究LPM植入与患者年龄和并发症状况有关的结果.
- 为了比较低并发症水平和高并发症水平的患者之间的并发症率和死亡率.
主要方法:
- 在瑞士2015年至2022年期间接受LPM的863名患者的多中心回顾性分析.
- 根据查尔森并发症指数 (CCI),患者被分为低 (≤5) 和高 (>5) 并发症组.
- 评估的结果包括术前并发症,住院死亡和全因死亡率,并与特定的CCI群体的瑞士普通人口进行比较.
主要成果:
- 在低并发症和高并发症组之间,在手术前或长期并发症率上没有显著差异.
- 在高并发症组 (3.6%对0.6%) 的住院死亡率更高.
- 在高并发症组 (HR 2.9) 中,所有原因的死亡率显著更高,三年死亡率为58%,而在低并发症组中为22%.
结论:
- 无心脏起器植入是老年患者的安全手术,无论伴随性疾病高,并没有增加并发症的风险.
- 低并发症指数 (CCI ≤3) 的LPM患者的全因死亡率与瑞士一般人口相比较.
- 尽管存在竞争性风险,LPM为患有重大并发症的老年人提供了安全的节奏解决方案.
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