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高龄对无心脏起器植入后住院结果的影响
Navraj S Sagoo1, Rajveer Sagoo2, Aniruth Srinivasaraghavan3
1University of Tennessee Health Science Center, Chattanooga, Tennessee, USA.
Journal of cardiovascular electrophysiology
|July 9, 2025
概括
无心脏起器植入 (LPMI) 在老年人中是安全的. 与接受LPMI的年轻患者相比,nonagenarians的死亡率较低,而八十岁的患者的并发症较少.
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:
- 无心脏起器植入 (LPMI) 在老年人群中越来越多地使用.
- 先进的年龄组,包括八十岁和非九十岁的年龄组,代表了LPMI日益增长的人口统计数据.
- 了解这些特定年龄组的LPMI结果对于临床决策至关重要.
研究的目的:
- 为了比较LPMI在八十岁 (80-89岁) 和非九十岁 (≥90岁) 的安全性和有效性,与年轻的患者 (≤79岁) 相比.
- 为了确定LPMI后的住院结果的年龄相关差异.
- 评估不同年龄层的特定并发症率和死亡率.
主要方法:
- 国家住院患者样本数据库 (2018-2021) 的分析.
- 包括接受LPMI的18岁以上的患者.
- 分为三个年龄段:≤79岁,80-89岁和≥90岁.
- 使用多变量逻辑回归来调整潜在的混因素.
主要成果:
- 与年轻患者相比,非老年患者的住院死亡率 (aOR=0.257) 和并发症 (输血,心周,静脉动脉,出血) 显著降低 (aOR=0.257),并减少.
- 与较年轻的患者相比,八代人患者的输血几率 (aOR=0.678),VTE和出血并发症的几率明显较低.
- 八岁老人和年轻患者之间没有观察到在医院死亡率或设备移除/修改方面的显著差异.
结论:
- 与年轻人相比,接受LPMI的非老年人患入院死亡风险明显较低.
- 八代人表现出良好的安全性,LPMI后某些并发症的发生率降低.
- LPMI似乎是一个安全的和潜在的有利的程序在高级年龄组,与特定的好处观察到nonagenarians关于死亡率.
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