对80岁以上患者的死亡率相关因素的分析,这些患者因腹腔大动脉动脉瘤接受治疗
Juan Kim1, Sung Woon Chung1,2, Jongwon Kim1
1Department of Thoracic and Cardiovascular Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Journal of chest surgery
|August 6, 2025
概括
80岁以上的患者腹腔大动脉瘤 (AAA) 修复后的死亡率与破裂和紧急手术有关. 术前状态和血管压缩剂的使用是这一老年人群总体死亡率的关键预测因素.
科学领域:
- 血管外科 血管外科
- 老年医学 老年医学
- 手术结果研究研究.
背景情况:
- 由于人口老龄化,80岁以上接受腹腔大动脉瘤 (AAA) 修复的患者数量正在增加.
- 这种人口群体在手术干预方面存在独特的挑战和风险.
研究的目的:
- 为了检查80岁以上接受AAA修复的患者的死亡率相关的因素.
- 在这个特定的患者群体中确定30天和整体死亡率的预测因素.
主要方法:
- 一项回顾性队列研究,对66名80岁以上的患者进行了回顾性队列研究,这些患者在2010年至2022年期间接受了AAA修复.
- 分析包括基线特征,治疗类型 (开放式手术修复 (OSR) 与内血管动脉瘤修复 (EVAR)) 以及死亡结果.
- 统计方法包括单变量逻辑回归和Cox比例危险回归.
主要成果:
- 在OSR和EVAR之间30天死亡率没有显著差异 (11.5%对10%).
- 紧急手术,治疗后的肺炎和血管压缩剂使用与30天死亡率有关.
- 年龄,手术前卧床状态,内动脉牺牲和术后血管压缩剂使用预测了整体死亡率.
结论:
- 动脉瘤破裂和紧急手术显著增加了八十岁的AAA患者的30天死亡率.
- 术前状态和血管压缩剂管理对于预测整体死亡率至关重要.
- 在整个手术过程中仔细考虑死亡率因素对于老年AAA患者的手术决策和预测结果至关重要.
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