在末期病中无心脏起器与输静脉起器:来自全国再接收数据库的见解
Sajog Kansakar1, Azka Naeem1, Norbert Moskovits2
1Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY 11219, USA.
Journal of clinical medicine
|January 11, 2025
概括
在末期脏病 (ESRD) 患者中,无心脏起器与输静脉起器相比,显示出更高的短期并发症和成本. 然而,两组人群的住院死亡率和30天再入院率相似.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗器械 医疗器械
背景情况:
- 无心脏起器是一种替代的节奏策略.
- 对于无心脏起器在末期病 (ESRD) 患者中的使用数据有限.
研究的目的:
- 为了比较成年ESRD患者无与静脉输入心脏起器植入的结果.
- 评估住院死亡率,30天再入院,并发症和医疗保健资源利用率.
主要方法:
- 全国再接收数据库 (2016-2021) 的回顾性分析.
- 包括经过静脉或无心脏起器植入的ESRD成年患者.
- 医院死亡率,30天再入院率,并发症率和医疗保健成本的比较.
主要成果:
- 在ESRD患者中,无心脏起器植入与更高的住院并发症有关,包括输血,血管和心脏并发症.
- 在无和透静脉心脏起器组之间,没有观察到在医院死亡率和30天再入院率的显著差异.
- 无心脏起器植入导致停留时间更长,住院费用更高.
结论:
- 尽管有潜在的长期益处,但ESRD患者的无心脏起器与短期住院并发症的增加有关.
- 在这个人群中,无和透静脉心脏起器植入之间,住院死亡率和30天再入院是可比的.
- 需要进一步的研究来优化ESRD患者无心脏起器的使用,考虑到观察到的短期风险和成本增加.
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