在第一个COVID-19流行浪潮期间进行的血管和内血管手术后的结果
Panagiota Birmpili1, Ruth A Benson2, Brenig Gwilym3
1Nuffield Department of Population Health, University of Oxford, Oxford, UK.
EJVES vascular forum
|October 10, 2024
概括
这就是COVID-19大流行.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 流行病学 流行病学
背景情况:
- 第一个COVID-19大流行浪潮导致手术活动减少和资源重新分配.
- 血管服务专注于晚期或关键陈述.
研究的目的:
- 描述在最初的COVID-19流行浪潮期间接受主要血管干预的患者的六个月结果.
- 分析影响该患者队列死亡率的因素.
主要方法:
- 国际,多中心,前性,观察性研究 (COVER研究).
- 招募了在2020年12周内接受血管手术的患者.
- 收集有关人口统计,手术和30天/六个月结果 (并发症,再干预,死亡率) 的数据.
- 使用多变量逻辑回归来确定与六个月死亡率相关的因素.
主要成果:
- 分析了3,150个血管手术.
- 六个月所有原因的死亡率为12.8%.
- 确诊的COVID-19与六个月死亡的可能性高3.25倍.
- 增加ASA等级,虚弱,糖尿病和紧急手术增加了死亡风险;他类药物的使用是保护性的.
结论:
- 血管手术后的六个月死亡率在第一个COVID-19浪潮期间比大流行前的数据更高.
- 在血管外科手术患者中,COVID-19 疾病是死亡的重要独立风险因素.
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