[心脏植入式电子设备的感染]
Ava Azari1, Ingibjörg Kristjánsdóttir2, Paolo Gatti3
1leg läkare, -Karolinska universitets-sjukhuset, Stockholm; -institutionen för medicin, -Karolinska institutet.
概括
提取对于患有设备感染的患者来说是安全的. 系统性感染,病和脆弱性是手术前需要考虑的关键死亡风险.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗器械管理 医疗器械管理
背景情况:
- 心脏植入式电子器件 (CIED) 对于管理心脏病状况至关重要.
- 与CIED相关的感染存在重大风险,包括系统和局部传播.
- 提取是一种复杂的程序,具有潜在的风险和好处.
研究的目的:
- 评估CIED感染患者中提取的安全性和有效性.
- 在这个患者群体中确定与提取相关的死亡风险因素.
- 为CIED引的程序前风险分层策略提供信息.
主要方法:
- 对由于系统性或局部性感染而接受CIED取的患者的回顾性分析.
- 对30天和1年死亡率的评估.
- 统计分析以确定死亡率的独立预测因素,包括并发症和脆弱性.
主要成果:
- 提取在CIED感染的患者中证明了安全性和有效性.
- 30天死亡率为2.5%,一年死亡率为9.9%.
- 系统性感染,慢性病和虚弱 (临床虚弱度表5-7) 独立地与增加的死亡率有关.
结论:
- 提取是治理CIED感染的可行选择.
- 识别患有全身感染,慢性病或显著脆弱的患者对于风险分层至关重要.
- 程序前对这些风险因素的评估可以优化患者的取选择和管理.
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