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在左心室辅助装置植入后,与再入院相关的因素
John B Eisenga1, Kyle A McCullough2, Aasim Afzal3
1Baylor Scott and White, The Heart Hospital, Plano, Texas; Baylor Scott and White Research Institute, Dallas, Texas; Baylor University Medical Center, Dallas, Texas.
The Journal of surgical research
|March 22, 2025
概括
接受HeartMate III左心室辅助装置 (LVAD) 的患者经常在医院再入院,通常是由于心力衰竭. 较高的BMI和胆红素水平预测更多的再入院,这与手术后功能状况较差有关.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 心脏衰竭管理的管理
背景情况:
- 左心室辅助装置 (LVAD) 植入改善了末期心力衰竭患者的生存率和生活质量.
- 然而,使用LVAD的患者面临着高的再入院率.
- 驱动目的地治疗患者再入院的因素尚不清楚.
研究的目的:
- 为了调查HeartMate III LVAD植入后再入院的发生率和预测因素.
- 描述这个患者群体中再入院的常见原因.
主要方法:
- 在2017-2023年期间,对151名接受初级HeartMate III LVAD植入的患者进行了回顾性分析.
- 主要结局:无论原因如何,重新接收.
- 多变量线性回归确定了再接收的预测因素.
主要成果:
- 139名患者有456次再入院 (1.7个患者年).
- 常见的原因:心力衰竭恶化 (27.0%),感染 (17.8%),出血 (13.6%).
- 较高的BMI,高的手术前 bilirubin 和更长的随访预测再入院.
结论:
- 在6个月内再入院与在6个月和1年后更糟糕的功能状态相关.
- 增加的BMI和手术前胆红素与LVAD植入后更高的再入院率有关.
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