胃大动脉动脉瘤的保守管理患者的结果:一个单中心的经验
Muhammad Zulfiquar1, Haytham Hamid2, Tamer El-Sayed1
1Vascular Surgery, Sunderland Royal Hospital, Sunderland, GBR.
Cureus
|December 26, 2024
概括
胃大动脉动脉瘤 (AAA) 的保守护理显示出高死亡率,主要来自并发症,而不是破裂. 了解这些趋势对于优化AAA患者管理和护理战略至关重要.
科学领域:
- 血管外科 血管外科
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 保守的管理是腹腔大动脉动脉瘤 (AAA) 的一种选择.
- 了解这种患者群体的死亡率趋势和死亡原因对于优化护理至关重要.
- 本研究检查了符合在单一中心接受保守AAA护理的患者的结果.
研究的目的:
- 分析腹腔大动脉动脉瘤 (AAA) 患者的死亡趋势和死亡原因.
- 评估生存率,并确定影响该特定患者队列结果的因素.
主要方法:
- 从2018年5月到2024年1月进行了单中心回顾性分析.
- 分析了51名被认为不符合AAA修复条件的患者的数据.
- 收集了有关人口统计,动脉瘤特征,生存时间和死亡原因的信息,并进行了统计分析.
主要成果:
- 在接受保守的AAA护理的51名患者中,有30人 (58.8%) 在研究期间死亡.
- 大多数死亡 (87%) 归因于伴随性疾病,如心肌梗塞 (27%),癌症 (17%) 和慢性肺炎 (13%),只有13%是由于破裂的AAA.
- 一年生存率为17.6%,大多数死亡发生在保守管理决策的六个月内.
结论:
- 伴随性疾病显著影响保守管理的AAA患者的结果.
- 与破裂相关的死亡是少数原因,突出显示了潜在健康状况的作用.
- 需要进一步的大规模,以人口为基础的研究,以提高对AAA患者护理和结果的理解.
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