位于神经重症监护室的下静脉波器:有效性,恢复率和死亡率
Qian Yu1, Patrick Tran1, Monika Neale2
1Department of Radiology, University of Chicago Medical Center, University of Chicago, Chicago, IL, USA.
概括
下静脉过器 (IVCF) 是安全有效的预防肺栓塞 (PE) 在神经重症监护室 (NICU) 患者. 然而,IVCF检索率仍然很低,特别是在功能表现不佳的患者中.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 血管外科 血管外科
背景情况:
- 神经病重症监护室 (NICU) 的患者经常需要下静脉膜过器 (IVCF) 来管理静脉血栓事件.
- 了解IVCF的有效性,检索率和相关死亡率对于优化这种高风险人群的护理至关重要.
研究的目的:
- 评估IVCF在预防安置后肺栓塞 (PE) 的有效性.
- 为了确定NICU患者IVCF检索率.
- 确定与住院死亡率和过器检索相关的因素.
主要方法:
- 在2015年4月至2020年12月期间接受IVCF安置的175名NICU患者的回顾性审查.
- 分析主要结果,包括过后PE,过器检索和住院死亡率.
- 后勤回归模型被用来识别与主要结果相关的因素.
主要成果:
- 在所有患者中,IVCF安置成功,过后PE率低 (1.7%).
- 整体过器检索率为20.8%,平均停留时间为9个月.
- 更高的序列器官衰竭评估 (SOFA) 和简化的急性生理学得分 (SAPS) 与增加的住院死亡率有关,而在出院时修改的兰金得分 (mRS) 预测了检索成功.
结论:
- 在NICU患者中,IVCF有效预防PE,但恢复率较低,特别是在功能结果较差的患者中.
- 较高的SOFA和SAPS得分与死亡率有关,强调需要仔细选择患者和改进检索策略.
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