由于传染性内心炎的医院死亡率:发展中国家风险因素分析
Vinícius Gustavo Bobrovski1, Matheus de Oliveira Prestes1, Alisson Luis Pinheiro1
1State University of Ponta Grossa, Department of Medicine, Paraná, Brazil.
Current problems in cardiology
|December 9, 2024
概括
传染性内心炎 (IE) 是一种严重的疾病,死亡率高. 以前的中风,住院期间的中风和更长的住院时间是IE患者住院死亡的关键预测因素.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 传染性内心炎 (IE) 带来了不断变化的流行病学和微生物学的挑战.
- 了解IE目前的情况和死亡风险因素对于患者的治疗结果至关重要.
研究的目的:
- 描述住院IE患者的流行病学,临床,实验室,病因学和心声学特征.
- 确定感染性内心炎患者住院死亡率的预测因素.
主要方法:
- 对49名因IE住院的患者进行了回顾性观察研究 (2007-2023年).
- 基于杜克标准的纳入;不确定诊断,转移和未成年人的排除.
- 单变量逻辑回归分析了与住院死亡率相关的变量 (p<0.05).
主要成果:
- 主要的病因因子是斯塔菲洛科克菌 spp. (56.66%) 受到影响,其中关受影响最多 (60.86%).
- 在28.57%的患者中发生了中风,住院死亡率为36.7%.
- 死亡率的预测因素包括先前的中风 (p=0.017),住院期间的中风 (p=0.015) 和延长住院时间 (p=0.01).
结论:
- 传染性内心炎与显著的住院死亡率有关.
- 之前的中风,住院期间的中风和长时间住院被确定为IE患者死亡率的关键预测因素.
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