使用多学科团队对心血管植入式电子设备感染的管理:回顾性队列研究
Evan Hall1, Bennett Collis1, Talal Alnabelsi2
1University of Kentucky College of Medicine, Lexington, KY, USA.
Open forum infectious diseases
|March 31, 2025
概括
与多学科团队一起管理心脏植入式电子设备感染,导致设备提取率高. 随时提取与这些患者在一年内死亡率显著降低有关.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械管理 医疗器械管理
背景情况:
- 心脏植入式电子设备 (CIED) 已被广泛使用,但感染构成严重的风险.
- 尽管有指导方针,但CIED对受感染设备的提取率仍然低于最佳水平.
- 多学科团队 (MDT) 管理为CIED感染提供了一个潜在的解决方案.
研究的目的:
- 用MDT方法评估管理疑似CIED感染的结果.
- 评估MDT管理对设备提取率和患者死亡率的影响.
- 分析及时干预对改善CIED感染生存率的有效性.
主要方法:
- 从机构MDT注册表中确定了80名怀疑CIED感染的患者的回顾性研究.
- 数据收集包括人口统计,治疗方法和患者的治疗结果.
- 对那些接受了设备移除的患者和那些没有接受设备移除的患者之间的结果进行比较.
主要成果:
- 67.5%的患者接受了设备移除,最终设备感染率高 (77.1%) 和口袋感染率高 (100%).
- 移除设备与数量较低的住院和90天死亡率有关.
- 接受设备移除的患者的一年死亡率明显较低 (34%对70.1%,P = .01).
结论:
- MDT管理有助于快速提取CIED的高率.
- 设备提取与CIED感染患者的1年死亡率降低有关.
- 在研究期间,设备再植入率相对较低.
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