在五个欧洲国家实施简化的TAVI患者途径:BENCHMARK注册表
Francesco Saia1, Sandra Lauck2, Eric Durand3
1Department of Cardiology, Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy.
概括
实施跨导管大动脉植入器 (TAVI) 的基准最佳实践,在不同欧洲卫生系统中显著减少了住院和重症监护室 (ICU) 停留时间. 患者安全仍然没有妥协,证明了这些TAVI最佳实践的有效性.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 众所周知,基准最佳实践可以优化跨导管大动脉植入 (TAVI) 临床途径.
- 这些做法在欧洲各种医疗保健系统中的影响仍未得到充分探索.
研究的目的:
- 评估在德国,奥地利,法国,西班牙和意大利实施基准最佳实践的影响.
- 评估在医院和重症监护室 (ICU) 停留时间 (LoS) 的减少.
- 为了记录TAVI后30天的患者安全结果.
主要方法:
- 一项国际性的多中心注册研究,涉及患有严重症状性大动脉狭窄症的患者,他们使用气球可扩展进行TAVI.
- 在实施基准最佳实践之前和之后收集的数据.
- 分析的重点是医院的LoS,ICU的LoS和30天的安全终点,包括主要的血管并发症.
主要成果:
- 该研究包括法国的890名患者,西班牙的454名患者,德国的362名患者,意大利的300名患者和奥地利的176名患者.
- 在法国,西班牙,德国和意大利观察到医院中位数LoS的显著减少.
- 法国,西班牙和德国的ICU中位数LOS减少,30天的安全结果没有妥协. 在德国,主要血管并发症的发生率下降.
结论:
- 基准最佳实践的实施成功地减少了在不同欧洲医疗保健机构住院和重症监护室的住院时间.
- 该研究证实,这些最佳实践可以有效地实施,而不会对患者的安全产生不利影响.
- 这突显了标准化的TAVI协议在提高不同卫生系统的效率方面的价值.
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