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Benito Baldauf^1,2, Reinhard Vonthein³, Ernest W Lau⁴

¹Institute of Life Sciences, Hochschule Bremerhaven, An der Karlstadt 8, 27568, Bremerhaven, Germany. benito.baldauf@hs-bremerhaven.de.

Scientific reports

|December 16, 2024

概括

德国的心血管植入式电子设备 (CIED) 感染比以前认为的更常见,死亡率很高. 提高感染意识和预防对于患者安全至关重要.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
医疗保健服务研究医疗服务研究

背景情况:

心血管植入式电子设备 (CIED) 是必不可少的,但会带来不良事件的风险,包括严重的感染.
德国关于CIED感染的当代大规模数据有限,这阻碍了准确的风险评估.

研究的目的:

确定德国与CIED感染相关的住院率和死亡率.
为了确定CIED感染在德国大量人口队列中的流行率.

主要方法:

从德国最大的医疗保险基金 (2015年) 索赔数据的回顾性分析.
包括接受CIED安置,修订或提取程序的患者.
使用ICD 10 GM和程序代码识别CIED感染;通过医院出院状态评估死亡率.

主要成果:

分析了一组60,296名接受CIED手术的患者.
在三个月内,1595名患者 (2.65%) 患上了CIED主要感染.
发电机口袋感染发生在1.87%,与有关的感染发生在0.8%,死亡率分别为8.4%和15.24%.

结论:

该研究显示,急性CIED感染的患病率高于之前在德国报告的.
较高的CIED感染率和相关程序表明感染意识和预防策略的潜在缺陷.

关键词:

CIED感染死亡率的死亡率.与心脏植入式电子设备感染相关的程序流行病学流行病学

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