在巴西,一个中等收入国家,开发一个口耐用的左心室辅助器件程序
Deborah de Sá Pereira Belfort1,2, Bruno Biselli1,2, Mônica Samuel Avila1,2
1Hospital Sirio-Libanes, São Paulo, SP, Brazil.
JHLT open
|March 27, 2025
概括
这项研究显示了巴西成功的左心室辅助器件 (LVAD) 计划,该计划使用了中枢和分支模型. 在中等收入国家,对于心力衰竭患者来说,集中植入与分散护理是可行的,也是安全的.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 公共卫生 公共卫生
背景情况:
- 左心室辅助装置 (LVAD) 用于末期心力衰竭在中等收入国家是有限的,因为成本.
- 为了应对这些挑战,实施了一个枢纽和分支模型.
研究的目的:
- 描述一个中等收入国家的LVAD计划的经验.
- 评估用于LVAD植入和术后护理的枢纽和光圈模型的可行性和安全性.
主要方法:
- 从医院记录和电话联系方式收集回顾性数据.
- 在一个单一中心 (中心) 进行LVAD植入,在区域中心 (支柱) 进行分散的植入后护理.
- 通过慈善计划,来自巴西11个中心的患者被转诊.
主要成果:
- 20名成年患者在2013年至2020年期间接受了持续流动的LVAD.
- 一年和两年的总生存率分别为90%和84%.
- 15%的患者在2年内接受了心脏移植;12名患者在区域中心进行了远程跟踪.
结论:
- 在巴西,一个集线式LVAD程序是可行的和安全的.
- 集中的植入与分散的护理优化了中等收入国家的资源配置.
- 这种模式有助于更广泛地获得心力衰竭的LVAD治疗.
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