功能与心脏手术后住院患者死亡率和发病率的关联
Vikram Fielding-Singh1, Matthew W Vanneman1, Tracey Hong1
1Division of Cardiovascular and Thoracic Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Annals of thoracic surgery short reports
|January 10, 2025
概括
晚期慢性病 (CKD) 与更多的心脏手术和更高的住院死亡率有关. 这项研究强调了接受心脏手术的CKD患者的风险增加.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 目前关于非透析性慢性病 (CKD) 患者的心脏手术率和结果的数据有限.
- 了解CKD阶段和术后结果之间的关系对于患者护理至关重要.
研究的目的:
- 为了检查心脏外科手术在病不同阶段的发生率.
- 评估慢性病 (CKD) 阶段与心脏手术后住院死亡率之间的关联.
主要方法:
- 在美国 (2010-2019年) 对心脏外科手术的成人入院病例的分析.
- 病被分类为CKD G3阶段,CKD G4/G5阶段和末期病 (ESKD).
- 多变量逻辑回归用于评估CKD阶段与住院死亡率之间的关联.
主要成果:
- 估计有2,772,081个心脏外科手术程序被确定.
- 患有CKD,特别是ESKD的患者中,手术发生率更高 (1000人年中有13.0人).
- 住院死亡率随着CKD严重程度的增加:3.7% (CKD G3),6.7% (CKD G4/G5) 和8.8% (ESKD),与正常功能2.2%相比.
结论:
- 晚期CKD与美国心脏外科手术发生率的增加有关.
- 接受心脏手术的CKD患者面临着显著更高的住院死亡风险.
- 这些发现强调了对CKD患者风险分层和风险管理的重要性.
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