在COVID-19大流行之前和期间感染性内心炎的早期手术结果
Jang-Sun Lee1, Virna L Sales2, Annette Moter3
1Department of Heart Surgery, Kerckhoff-Klinik GmbH Herzzentrum Abteilung fur Kardiologie and Abteilung fur Herzchirurgie, Bad Nauheim, Hesse, Germany.
The Thoracic and cardiovascular surgeon
|November 27, 2024
概括
由于COVID-19大流行,感染性内心炎 (IE) 患者的诊断延迟,手术结果恶化. 在公共卫生危机期间,需要改善IE患者的管理策略.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 外科手术的结果
背景情况:
- 传染性内心炎 (IE) 具有很高的外科死亡风险.
- 在SARS-CoV-2大流行期间,医院重组可能影响了紧急手术护理.
- 这项研究调查了流行病对德国南部外科IE患者治疗结果的影响.
研究的目的:
- 评估COVID-19大流行对感染性内心炎患者手术结果的影响.
- 为了比较流行病和流行病前队列之间的术前状态和术后并发症.
主要方法:
- 观察性,基于社区的研究比较了两个队列:流行病 (2020年3月至2021年11月) 和流行病前 (2018年8月至2020年3月).
- 对手术前状态和医院内术后并发症的分析.
- 84名流行病队列患者和94名流行病前队列患者之间的结局比较.
主要成果:
- 流行病队列的症状发作到诊断间隔较长 (14.5天与8天).
- 在流行病队列中观察到更高的确定的IE发病率 (82.1%与68.1%) 和更严重的症状 (NYHA III/IV类:72.6%与44.7%).
- 术后并发症的增加 (重新胸腔切除,血过) 和在不同组之间类似的住院生存率.
结论:
- 随着COVID-19大流行和封锁,IE诊断延迟,外科手术后期结果更差.
- 在锁定后的手术IE患者中,术后并发症的显著增加.
- 强调需要在公共卫生紧急情况期间加强IE的管理策略.
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