睡眠质量差是急性大动脉解剖患者不良临床结果的危险因素:一项前性队列研究
Meiling Cai1,2,3, Fei Jiang1,2,3, Lingyu Lin1,2
1Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Journal of sleep research
|November 21, 2024
概括
睡眠质量不佳增加了急性大动脉解剖患者的风险,包括在医院死亡和长时间的机械呼吸. 评估睡眠质量可以识别需要更密切监测和干预的高风险患者.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 关键护理医学 关键护理医学
背景情况:
- 睡眠质量下降与心血管疾病有关,并影响疾病预后.
- 在急性大动脉剖析 (AAD) 患者中,术前睡眠质量和术后结果之间的关联仍然不清楚.
研究的目的:
- 为了研究手术前睡眠质量和急性大动脉剖析患者的临床结果之间的关系.
主要方法:
- 在接受AAD治疗的患者中评估了睡眠质量.
- 临床结果包括长时间的机械呼吸,术后妄想,住院死亡,持续的置换疗法,重症监护室 (ICU) 和住院时间.
- 患者被分为良好的睡眠质量和不良睡眠质量组.
主要成果:
- 睡眠质量不佳的组与睡眠质量良好的组相比,经手术后妄,住院死亡,长时间的机械呼吸和更长时间的重症监护室停留率明显高 (p < 0.05).
- 多变量分析表明,较差的睡眠质量独立预测了住院死亡的风险增加 (OR=3.451) 和长时间的机械呼吸 (OR=6.302),以及更长的ICU停留 (β=62.37).
- 吸烟史,睡眠质量不佳和术后妄想是长时间机械通风的重要预测因素.
结论:
- 手术前睡眠质量不佳是急性大动脉解剖患者不良临床结果的重要风险因素.
- 简单的自我报告睡眠质量的评估可以帮助识别长期机械通风风险较高的AAD患者,从而能够及时进行干预.
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