在接受腹部手术的婴儿中,先前的心脏手术与术后肺炎的关联:一项队列研究
Morgan Zlotolow1, Christian Mpody2, Sergio A Carrillo3
1Department of Pediatrics, Nationwide Children's Hospital and the Ohio State University College of Medicine, Columbus, OH, USA.
Journal of pediatric surgery
|September 7, 2024
概括
患有先天性心脏病 (CHD) 的婴儿接受腹部手术面临肺炎和其他并发症的更高风险. 在手术后密切监测呼吸系统问题对于这些脆弱的儿童至关重要.
科学领域:
- 儿科手术 儿科手术
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 患有先天性心脏病 (CHD) 的儿童通常需要进行非心脏手术.
- 这些儿童在心脏修复后面临着术后并发症风险的增加.
- 这项研究调查了先前进行腹部手术的婴儿心脏干预和肺炎之间的联系.
研究的目的:
- 确定先前心脏干预和腹部手术的婴儿手术后肺炎之间的关联.
- 评估之前心脏手术对其他不良外科手术结果的影响.
主要方法:
- 对104,820名婴儿 (<12个月) 进行腹部手术 (2012-2022) 的回顾性队列研究.
- 使用了国家外科手术质量改进计划数据库.
- 雇员1: 1倾向分数匹配,以比较以前心脏干预和没有心脏干预的婴儿.
主要成果:
- 9.3%的婴儿先前接受过心脏干预.
- 之前的心脏手术与术后肺炎风险增加有关 (1.3%对0.8%).
- 在先前进行心脏手术的婴儿中,观察到更高的非计划性再输管率,长时间的机械通风和延长的住院时间.
结论:
- 之前的心脏干预增加了术后肺炎的风险后腹内手术.
- 这些婴儿也面临更高的风险重新输管,长时间的通风和更长的住院时间.
- 临床医生必须谨慎监测有心脏干预史的婴儿进行手术后呼吸道并发症.
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