接受下肢深静脉干预的风险接受
George Hudson1, Desmond Chan1, Robert Hinchliffe1
1Department of Vascular Surgery, North Bristol Trust.
Phlebology
|March 14, 2025
概括
患有深静脉血栓症 (DVT) 和血栓后综合征 (PTS) 的患者接受比临床医生更高的干预并发症风险. 那些情绪健康和社会功能较差的人接受更大的风险,影响共享决策.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 患者报告的结果
背景情况:
- 深静脉血栓症 (DVT) 和血栓后综合征 (PTS) 是重要的血管疾病.
- 内血管干预是对DVT和PTS的常见治疗方法.
- 了解患者和临床医生的风险承受能力对于治疗决策至关重要.
研究的目的:
- 确定DVT和PTS的内血管干预中并发症的最大可接受风险.
- 为了比较患者和血管临床医生之间的风险接受.
- 探索影响患者承受风险的因素.
主要方法:
- 使用标准博方法的观察性研究.
- 采访了30名患有DVT/PTS的患者和30名血管临床医生.
- 评估在假设的DVT和PTS场景中接受各种并发症的风险.
主要成果:
- 与临床医生相比,患者接受了大多数并发症 (例如,严重出血,治疗失败) 的显著更高风险.
- 对于严重的结局,如内出血,肺栓塞和死亡,风险接受差异较小.
- 患者接受严重出血的风险与情绪健康和社会功能 (SF-36领域) 有负相关性.
结论:
- 患者通常比临床医生更能承受干预并发症的更高风险.
- 患者接受风险受其生活质量,特别是情绪和社会功能的影响.
- 对于DVT/PTS管理的共享决策应考虑患者特定的心理社会因素和风险承受能力.
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