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异常脚臂指数对败血症存活率的影响:一年前性研究结果

Hsinyu Tseng^1,2, Min-Tsun Liao^1,2, Li-Ta Keng^3,4

¹Cardiovascular Center.

Acta Cardiologica Sinica

|September 23, 2024

概括

败血症患者的下肢外周动脉疾病 (LE-PAD) 与在一年内增加主要不良心血管事件 (MACE) 有关. 通过脚-手臂指数 (ABI) 的早期检测可以指导未来的心血管治疗血症幸存者.

科学领域:

心脏病学心脏病学
关键护理医学关键护理医学
血管医学血管医学

背景情况:

下肢外周动脉疾病 (LE-PAD) 与不良的心血管结果有关.
未被诊断的LE-PAD,以异常的脚-手腕指数 (ABI) 表明,对在ICU中的败血症患者存活率的影响尚不清楚.

研究的目的:

调查异常ABI与重症监护室 (ICU) 败血症患者的结果之间的关联.
为了比较正常与异常ABI的败血症患者的死亡率和主要不良心血管事件 (MACE).

主要方法:

在ICU接受治疗的成人败血症患者的前性队列研究.
在ICU入院后24小时内获得的脚臂指数 (ABI) 测量.
在正常和异常ABI组之间比较30天和1年的全因死亡率和MACE发病率.

主要成果:

在102名败血症患者中,有37%的患者基于异常ABI的LE-PAD.
两组之间30天或1年死亡率没有显著差异 (分别p=0.56和p=0.24).
在1年的随访期间,在患有异常ABI的患者中,MACE的发生率显著更高 (21.1%对3.1%,p=0.003).

结论:

败血症患者的异常ABI与退院后一年内MACEs的增加有关.
需要进一步的研究来改善败血症幸存者的心血管结果.
临床试验.gov的标识符:NCT03372330.gov的标识符:NCT03372330.gov的标识符:NCT03372330.gov的标识符:NCT03372330.gov的标识符:NCT03372330.

关键词:

脚-手臂指数是一个指数.心血管疾病的心血管疾病.关键的护理关键的护理周围动脉疾病是什么?败血症这是一种败血症.幸存的生存方式

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