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较高的程序性中风血栓切除体积与住院患者的死亡率降低有关

Andrew B Koo¹, Daniela Renedo¹, John Ney²

¹Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut, USA.

Journal of neurointerventional surgery

|August 30, 2024

概括

对于急性缺血性中风 (AIS) 的内血管血栓切除术 (EVT) 的高手术量显著降低了住院死亡率. 每年至少进行18次EVT与更好的患者结果有关.

科学领域:

神经学神经学
干预心脏病学干预心脏病学
公共卫生公共卫生

背景情况:

急性缺血性中风 (AIS) 是导致死亡和残疾的主要原因.
血管内血栓切除术 (EVT) 是AIS的关键治疗方法.
程序学家的经验可能会影响患者的治疗结果.

研究的目的:

评估内血管血栓切除术 (EVT) 程序员体积和急性缺血性中风 (AIS) 患者的住院死亡率之间的关联.
为了确定EVT程序员体积的最佳门.
为了告知中风护理的最佳实践.

主要方法:

使用2020年佛罗里达州住院患者数据库进行回顾性队列研究.
包括接受EVT的成年AIS患者.
使用尤登指数 (≥18 EVT/年) 定义了高与低的程序主义体积.
对混因素进行调整后的物流回归分析.

主要成果:

分析了来自106家医疗机构的1907名患者.
高程序员量 (≥18 EVT/年) 与较低的住院死亡率 (7.2%对11.0%,P=0.005) 有关.
调整后的分析显示,大量供应商的死亡几率显著降低 (OR0.52,P=0.001).

结论:

对于AIS的EVT中程序员数量较高与减少住院死亡率有关.
每位提供者每年 ≥18 EVT 的基准可能与改善的结果有关.
需要进一步的研究来建立对中风护理技术能力的基准.

关键词:

一次性中风,中风.进行血栓切除术 (thrombectomy).

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