儿童心脏外科手术后与延长性肺溢液/胸发生相关的风险因素和早期结果
Dan M Dorobantu1,2, Peter Davis2, Katherine Brown3
1Children's Health and Exercise Research Center, University of Exeter, Exeter, UK.
概括
在小儿心脏手术后,延长的肺溢液/胸 (PPE/C) 会增加死亡率,尤其是其他并发症. 虽然PPE/C增加了单一发病率的住院日数,但它并没有显著延长复杂病例的住院时间.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 胸部并发症 胸部并发症
- 手术后的发病情况
背景情况:
- 长时间的肺流/胸 (PPE/C) 是小儿心脏外科手术的一个未经研究的并发症.
- 它的发病率,风险因素和对结果的影响需要进一步调查.
研究的目的:
- 为了确定儿童心脏手术后的PPE/C的发生率和风险因素.
- 评估PPE/C对死亡率和住院时间 (HLoS) 的影响.
主要方法:
- 从5个英国中心 (2015-2017) 收集未来的多中心数据 (2015-2017).
- 包括儿童心脏手术患者的3090项手术.
- 分析了9种术后疾病,包括PPE/C,以及它们与结果的关联.
主要成果:
- 个人防护设备/C的发病率为6.5% (202例),发生在术后6天的中位数.
- 只有当与至少两种其他疾病结合在一起时,PPE/C与死亡率的增加有关.
- PPE/C平均增加了8天的HLoS,在孤立的病例中相对影响更大.
结论:
- 增加PPE/C会增加死亡率,特别是在多病情景中.
- 在单个发病病例中,PPE/C显著增加了HLoS,但在多发病例中却没有.
- 强调在复杂的儿科心脏手术中预防,检测和管理PPE/C的重要性.
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