心脏电子设备植入后的早期动员是什么? 一个范围广泛的审查
Dalia Caleffi1, Paola Ferri2, Mauro Bellifemine2
1Clinical and Experimental Medicine PhD Program, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Medical devices (Auckland, N.Z.)
|December 23, 2024
概括
心脏植入式电子设备 (CIED) 程序后的早期动员是安全的,可以避免并发症. 然而,缺乏关于动员时间和类型的共识,阻碍了其广泛采用,这表明需要进一步研究.
科学领域:
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
- 患者康复 患者康复
背景情况:
- 心脏植入式电子设备 (CIED) 在老年人群中越来越多地植入.
- 传统的植入后护理涉及长时间的床上休息,缺乏建立的共识.
- 需要基于证据的指导方针,用于CIED程序后的患者动员.
研究的目的:
- 系统地审查和综合有关CIED植入后动员策略的文献.
- 识别和分析与不同动员方法相关的结果.
- 为临床实践提供有关早期患者动员的信息.
主要方法:
- 在2023年12月,在6个数据库中进行全面的文献搜索.
- 多作者选,数据提取和相关研究的质量评估.
- 包括关于CIED患者动员的初级研究的描述性分析.
主要成果:
- 8项研究符合纳入标准,主要是随机对照试验 (n=6).
- 确定了关键主题:动员技术,相关并发症和设备类型.
- 早期动员表明安全,没有增加并发症.
结论:
- 早期动员CIED植入后的早期动员是安全的,不会提高并发症率.
- 缺乏关于调动时间和类型的共识是一个重要的障碍.
- 需要进一步进行严格的研究,特别是在设备类型和线索上,以优化早期动员协议,可能使用手臂支.
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