在接受先天性心脏手术的患者中,气管切除术后的结果
Jessica B Briscoe1, Alyssia Venna1, Rittal Mehta1
1Division of Cardiovascular Surgery, Children's National Hospital, Washington, DC.
The Annals of thoracic surgery
|February 1, 2025
概括
儿童心脏手术患者的气管切除术显示高死亡率 (61%),质疑其生存益处. 应告知重症儿童的家属,气管切除术可能只能提供有限的生存益处.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 心胸外科手术是一项心胸手术.
- 呼吸系统护理 呼吸系统护理
背景情况:
- 气管切除术在成年人中是有益的,但在儿童心脏手术中缺乏证据.
- 在接受先天性心脏手术的儿科患者中研究了气管切除术的生存结果.
研究的目的:
- 评估气管切除术对先天性心脏手术的儿科患者在医院和晚期生存的影响.
- 为了确定这种患者群体中死亡率的预测因素.
主要方法:
- 对62名接受气管切除和心脏手术的儿科患者 (2011-2022) 的单中心综述.
- 使用多变量逻辑回归和卡普兰-梅尔生存分析.
- 评估死亡率预测因素,包括停留时间,气管,败血症,肺炎和急性损伤.
主要成果:
- 总体死亡率为61% (21%在医院).
- 平均存活时间为328天.
- 死亡率的预测因素包括更长的停留时间,败血症,肺炎和需要透析的急性损伤. 气管病与较低的死亡率有关.
结论:
- 在小儿心脏外科手术患者中气管切除术后的高死亡率 (61%) 引发了对其生存益处的质疑.
- 气管切除术可能为最生病的患者提供有限的生存延长.
- 家庭需要了解危急儿童的潜在有限生存益处.
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