远程医疗TAVR手术前评估的结果
John M Tobia1, Sara Heinein1, Fady Soliman2
1Rutgers, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
JACC. Advances
|August 29, 2025
概括
术前远程医疗评估 (TME) 对于跨导管大动脉置换 (TAVR) 的结果与亲临评估 (IPE) 类似. 这支持远程医疗
科学领域:
- 心血管医学
- 医疗技术
- 医疗服务研究
背景情况:
- 在COVID-19后心血管护理中,远程医疗的应用激增.
- 使用远程医疗与亲临治疗方法进行跨导管大动脉置换 (TAVR) 的术前评估需要对结果进行比较.
研究的目的:
- 评估手术前远程医疗评估 (TME) 与TAVR患者的面对面评估 (IPE) 相比是否产生不同的临床结果.
主要方法:
- 从2021年1月至2022年12月对497名成人TAVR患者的回顾性分析.
- 在TME和IPE组之间对30天复合结果 (死亡率,中风,血管并发症,再入院) 的比较.
- 评估二次结果,包括成本,停留时间和程序的时间.
主要成果:
- 在TME (17. 5%) 和IPE (14. 7%) 组之间30天复合结果没有显著差异 (P=0. 41).
- 在TME和IPE之间,死亡率,中风和再入院等个别结果是可比的.
- 两个组的直接成本,住院时间和评估至手术时间均相似.
结论:
- 手术前的远程医疗评估是TAVR面对面评估的安全有效替代方案.
- 这些发现支持远程医疗的扩大, 以提高结构性心脏病治疗的准入和质量.
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