在荷兰医院进行过导管大动脉置换后的第二天出院
Diekje R Schouten1, Josianne H Heuver2, Wendy Stouten-Gresnigt2
1Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. d.schouten@antoniusziekenhuis.nl.
概括
在荷兰,通过导管更换大动脉 (TAVR) 后的第二天出院 (NDD) 是安全的和可行的. 超过一半的TAVR患者实现了NDD,离院后并发症最小,支持其更广泛的采用.
科学领域:
- 心脏病学
- 干预心脏病学
- 医疗保健管理
背景情况:
- 透气置换后住院时间 (TAVR) 正在减少.
- 之前的研究表明,第二天出院是安全的.
- 关于荷兰医疗保健环境中NDD可行性的数据有限.
研究的目的:
- 评估TAVR患者第二天出院政策的实际有效性.
- 评估TAVR后NDD相关的患者安全性和并发症率.
- 提供一家实施NDD战略的荷兰医院的数据.
主要方法:
- 在2022年实施了第二天放电 (NDD) 政策.
- 包括2022年8月至2024年8月期间的选择性TAVR患者.
- 排除标准:先前住院,跨的接触,手术内死亡.
主要成果:
- 在460名TAVR患者中,58. 5%的患者获得了NDD (平均年龄为80. 1岁).
- 退院后30天的并发症率较低:永久性起器植入1. 9%,轻微的血管并发症为2.2%.
- 没有观察到死亡率,主要血管并发症或住院中风.
结论:
- 实施TAVR之后的第二天排放政策是可行的.
- 很大一部分TAVR患者可以在第二天安全出院.
- NDD与出院后并发症的发生率较低.
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