在非老年人中无心脏起器插入的安全性
Jashan Gill1, Ahmad Harb2, Jobin Varghese1
1Department of Cardiology, MercyOne North Iowa Medical Center, Mason City, IA, USA.
概括
对于90岁及以上的患者来说,无心脏起器插入似乎是安全的,比较年轻的患者死亡率较低,并发症较少. 然而,在接受这种手术的非常老年人中,潜在的生存偏差需要考虑.
科学领域:
- 心脏病学 心脏病学
- 老年医学 老年医学
- 医疗器械 医疗器械
背景情况:
- 晚年与脆弱性和较差的外科手术结果有关.
- 无心脏起器 (LPM) 为心律管理提供了一个不那么侵入性的替代方案.
研究的目的:
- 评估非老年人 (90岁以上的患者) 无心脏起器插入的安全性和结果.
主要方法:
- 分析国家再接收数据库 (2017-2020年) 的分析,将≥90岁的患者与接受LPM插入的90岁以下患者进行比较.
- 多变量回归分析根据患者的并发症进行调整.
主要成果:
- 非老年人停留时间较短,死亡率较低,心脏骤停,机械通风和血管压缩器使用率较低.
- 在非老年人中观察到心周并发症的风险增加.
- 在30天再入院,术后出血或中风率方面没有显著差异.
结论:
- 无心脏起器插入是非常老年人群的潜在安全程序.
- 生存偏差和未测量的混因素可能会影响非老年人的结果.
- 单独的年代年龄可能不是这一队列中不良结果的显著风险因素.
相关概念视频
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
333
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
333
01:26Cardiac Catheterization IV: Nursing Management
1.2K
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.2K