在的胸部创伤后发生心律失常的发生率和危险因素
Jessica Jowers1, Kevin Van Derveer1, Katherine Moore2
1Department of Surgery, Philadelphia College of Osteopathic Medicine, 4170 City Avenue, Philadelphia, PA 19131, USA.
的胸部创伤在19.5%的患者中引起心律失常,增加了心脏干预的可能性. 老年患者,高伤害严重性得分 (ISS) 和先前的心脏病是发展创伤后心律失常的关键风险因素.
科学领域:
- 创伤外科 手术 创伤外科
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 麻木胸部创伤后心律失常的发病率是高度可变的 (8-75%).
- 创伤后心律失常症的并发症率和危险因素仍未得到充分研究.
- 的胸部创伤可能会导致心脏节律失常.
研究的目的:
- 确定突胸部创伤后心律失常的发生率.
- 确定与发展创伤后心律失常症相关的危险因素.
- 评估心律失常发作后需要进行心脏干预的发生率.
主要方法:
- 在一级创伤中心 (1/2010-3/2022) 对2943名患有突发胸部创伤的成年患者进行了回顾性审查.
- 纳入标准:肋骨/胸骨骨折,胸壁伤,肺胸,血胸,胸痛,变形或.
- 排除标准:缩写伤害量表胸部=0或先前存在的节律失常;统计分析包括单变量,多变量和多变量方法.
主要成果:
- 19.5% (574/2943) 的患者出现心律失常;17.4% (100/574) 在出院时需要新的抗心律药.
- 患有心律失常的患者需要心脏干预的可能性增加了1.79倍 (p=0.004).
- 较高的伤害严重性评分 (ISS) (16-25和>25) 显著增加了心脏干预风险 (p<0.001).
结论:
- 在这种一级创伤中心,的胸部损伤后心律失常的发生率为19.5%.
- 患心律失常的风险增加与年龄较大,ISS>25岁,先前心脏病和血液制品>5单位有关.
- 应考虑扩展对创伤后易受伤害的患者的监测指南.
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