一种风险预测模型,用于在最小侵入性门手术后长时间的逗留时间
Vito D Bruno1, Bleri Celmeta1, Tommaso Viva1
1Department of Minimally Invasive Cardiac Surgery - IRCCS Galeazzi - Sant'Ambrogio Hospital, Milan, Italy.
Innovations (Philadelphia, Pa.)
|October 30, 2024
概括
年龄和之前的心脏手术 (再手术) 显著增加了心脏门微创手术 (MIVS) 后的住院时间. 其他因素,如心脏功能下降和脏疾病,也会影响恢复.
科学领域:
- 心脏外科手术 心脏外科手术
- 最少侵入性手术的方法
- 医疗保健研究成果 研究成果
背景情况:
- 微创手术 (MIS) 通常可以减少住院时间 (LOS),包括心脏手术.
- 影响长期LOS的术前因素,特别是在最小侵入性心脏门手术 (MIVS) 中,尚不清楚.
研究的目的:
- 在接受MIVS的患者中确定与长期LOS相关的术前变量.
主要方法:
- 一个回顾性审查的189名患者接受了MIVS通过minithoracotomy.
- 长时间的LOS被定义为>7个术后天.
- 用Poisson和后勤回归分析来确定预测因素.
主要成果:
- 术后平均LOS为9.13天,其中33.9%的人经历了长时间的LOS.
- 长期LOS患者年龄较大,NYHA类较高,LVEF降低,CKD和重复手术较多.
- 调整后的分析确定了年龄较大 (OR=1.03) 和重复手术 (OR=3.33) 作为长期LOS的显著预测因素.
结论:
- 年龄和重复手术是MIVS后长期LOS的关键预测因素.
- 降低的LVEF,NYHA类III/IV和CKD也会导致延迟恢复.
- 需要进行更大规模的研究,以进一步阐明MIVS的手术前预测因素.
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