对患者进行心肺运动测试 (CPET) 和不进行心肺运动测试 (CPET) 的结果进行比较
Pushpa Veeralakshmanan1, Maciej Juszczak1, Alok Tiwari1
1Department of Vascular Surgery, University Hospitals Birmingham, Birmingham, UK.
Vascular and endovascular surgery
|August 22, 2024
概括
心肺运动检测 (CPET) 显著减少了ICU和接受开放腹腔大动脉瘤修复的患者的整体住院时间. 这种术前评估提供了超越非生理学测试的宝贵见解.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 在手术前进行风险评估.
背景情况:
- 心肺运动测试 (CPET) 是评估患者健康和功能能力的既定工具.
- 存在有限的证据来比较CPET与血管外科手术中的非生理测试.
- 本研究评估了CPET在选择性开放腹腔大动脉瘤 (AAA) 修复中的术后价值.
研究的目的:
- 调查心肺运动测试 (CPET) 作为术前风险分层工具的价值.
- 为了比较选择性开放AAA修复的结果,在接受CPET的患者和没有接受CPET的患者中.
- 评估CPET对术后并发症和入院时间的影响.
主要方法:
- 来自两个血管中心 (2015-2019) 的回顾性数据收集 (2015-2019).
- 对患者进行选择性AAA修复的CPET中心和非CPET中心之间的比较.
- 关键结局包括ICU停留时间,总停留时间,术后并发症和急性损伤 (AKI).
主要成果:
- 使用CPET测试的患者在ICU停留时间显著缩短 (2.5 vs 3.68天,P=0.05) 和总停留时间 (P=0.015).
- 在CPET组中,术后急性损伤 (AKI) 的发生率较低 (13.61%vs.28.95%).
- 两组之间没有发现死亡率的显著差异.
结论:
- 心肺运动测试 (CPET) 与开放AAA修复患者的总和ICU停留时间显著减少有关.
- 在开放性大动脉手术中,CPET作为非生理学测试的宝贵补充,用于患者选择.
- 需要进一步验证CPET作为大动脉动脉瘤修复中的常规评估工具.
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