在稳定的肺动脉高血压儿童的门诊心脏导管的程序方法
Gregory T Adamson1, Minnie N Dasgupta1, Zachary Kleiman2
1Division of Pediatric Cardiology, Department of Pediatrics Stanford University School of Medicine Palo Alto California USA.
Pulmonary circulation
|June 9, 2025
概括
对于肺动脉高血压 (PH) 的儿科心脏导管治疗可以安全地通过自发通风进行,使大多数门诊患者能够在同一天出院. 诸如输内管和年轻年龄等因素增加了入院几率.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 肺高血压研究 肺高血压研究
- 医疗程序优化 医疗程序优化
背景情况:
- 儿科肺动脉高血压 (PH) 管理通常需要心脏导管.
- 门诊心脏导管治疗在儿科PH患者当天出院时存在独特的挑战.
- 优化程序的安全性和效率对于实现提前释放至关重要.
研究的目的:
- 评估在PH的儿科门诊患者心脏导管后同日出院的安全性和可行性.
- 确定影响这种方法安全性的临床特征.
- 描述一项优先考虑自发通风和程序简洁性的战略的结果.
主要方法:
- 对儿童门诊患者 (<21岁) 进行心脏导管治疗的回顾性队列研究 (2009-2018).
- 收集的数据包括人口统计,临床状态和程序细节.
- 混合效应物流回归用于与入院相关的模型因素,对重复测量进行核算.
主要成果:
- 在118名门诊患者进行的250项手术中,74%的患者在48小时内没有出现重大不良事件,并于当天出院.
- 程序的平均持续时间为51分钟.
- 输内管注射,年龄较小,手术时间较长,功能状况较差与更高的入院率有关.
结论:
- 门诊儿科心脏导管治疗PH可以安全地进行,重点是自发通风和程序效率.
- 大多数患者,特别是不需要输管的老年儿童,是当天出院或低急性观察的候选人.
- 这种方法提高了患者的吞吐量,并可能降低医疗保健成本.
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