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急性甲型大动脉解剖中的死亡率 - - 一项基于当代注册表的系统审查
Diana-Cristina Matei1,2, Cornel Robu1,2, Celia Georgiana Ciobanu1,2
1Emergency Institute for Cardiovascular Diseases "Prof. Dr. C.C. Iliescu", Street Fundeni 258, Bucharest, Romania.
概括
急性A型大动脉剖析 (ATAAD) 的早期死亡率很高,并且在各个注册表中存在显著差异. 标准化报告对于更好的风险评估和公平的患者护理至关重要.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
背景情况:
- 急性A型大动脉解剖 (ATAAD) 是一个关键的心血管紧急情况.
- 较高的早期死亡率带来了重大的临床和组织挑战.
- 大型观测注册提供现实世界结果数据.
研究的目的:
- 综合和比较来自国家和多中心注册的ATAAD患者的早期死亡率.
- 分析死亡结果的趋势和变化.
主要方法:
- 在PubMed,谷歌学者和科克兰图书馆进行了系统的文献搜索.
- 包括在过去10年内发表的基于注册表的研究.
- 提取了关于住院,30天,手术或48小时死亡率,研究特征,人口统计和风险因素的数据.
主要成果:
- 分析了包括77,267名患者在内的20个注册表.
- 在13个登记处,住院死亡率从5%到29%不等.
- 结果定义和纳入标准的差异阻碍了直接比较.
结论:
- ATAAD的早期死亡率仍然很高,并且在各个注册表中不一致.
- 加强全球注册表参与和标准化报告至关重要.
- 这些改进将有助于风险分层,临床决策和公平护理.
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