患者报告的怀孕结果和存活率在患有大动脉和/或大动脉根置换的妇女
Rachel G Sinkey1,2, Kathryn S Maxwell3, Luz A Padilla3
1Department of Obstetrics & Gynecology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Journal of women's health (2002)
|November 25, 2024
概括
接受主动脉手术的女性报告高怀孕并发症和早期死亡率. 黑人妇女的死亡率更高,种族差异仍然存在,突出了改善护理和干预措施的迫切需要.
科学领域:
- 心血管外科心血管外科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 大动脉和/或大动脉根置换 (AVR/ARR) 在严重的大动脉疾病中进行.
- 接受AVR/ARR的生育年龄妇女的结果,特别是孕产妇和产周健康,需要进一步调查.
研究的目的:
- 为了调查患者报告的孕产妇和产周结局.
- 评估生存率并确定接受AVR/ARR的妇女之间的差异.
主要方法:
- 在1967年至2019年期间接受AVR/ARR的美国妇女的单中心观察研究.
- 通过电话调查报告的患者结果;通过死亡证明验证的生存状况.
- 数据抽象包括人口统计,门类型,妊娠并发症和死亡原因/时间.
主要成果:
- 在317名患者中,158人已知病情 (72人活着,86人死亡). 第一次AVR发生时的平均年龄为43岁.
- 接受调查的患者报告流产率高 (30%),早产率高 (12%),孕前症高 (14%).
- 死亡患者 (n=86) 的平均死亡年龄为52.5岁,黑人女性 (75%) 和大动脉功能不全 (72%) 的比例更高.
结论:
- 女性的大动脉手术与严重的孕产妇和产周并发症有关.
- 死亡证明数据显示,在手术后的十年内,种族差异和死亡率很高.
- 需要紧急干预,以改善孕产妇/产前期的结果,并消除患有大动脉膜疾病的妇女的种族差异.
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