患有恶性病的或不患有恶性病的心脏输液的皮肤周心造术患者的住院死亡率
Ju Young Bae1, Dae Yong Park2, Soumya Banna3
1Division of Cardiovascular Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY 10065, USA.
Current oncology (Toronto, Ont.)
|September 26, 2025
概括
患有恶性心周溢血 (MPE) 的患者接受心周溢血 (pericardiocentesis),与患有非恶性心周溢血 (NMPE) 的患者相比,他们面临更高的住院死亡率. 这项研究强调了结果的显著差异,包括MPE患者的死亡风险增加.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 住院医疗 住院医疗 住院医疗
背景情况:
- 恶性心周溢出 (MPE) 很普遍,但与非恶性心周溢出 (NMPE) 相比,心周溢出后的结局尚未确定.
- 了解这些差异对于患者管理和心血管和瘤护理的资源配置至关重要.
研究的目的:
- 为了比较临床结果,专注于在医院死亡率,在接受MPE心脏缩治疗的患者与NMPE之间.
- 确定二次结果,包括出院安排,停留时间和住院费用.
主要方法:
- 从2016年1月到2020年12月对美国国家住院样本 (NIS) 数据库的回顾性分析.
- 医院住院的鉴定,涉及心脏结核,将患者分为MPE和NMPE队列.
- 主要结局:住院死亡率;次要结局:出院安排,住院时间,住院费用.
主要成果:
- 总共分析了85,125名患者,其中MPE组有24,740名,NMPE组有60,385名.
- 在MPE组 (11.8%) 的住院死亡率明显高于NMPE组 (8.2%) (OR 1.50,p < 0.001).
- MPE患者有较高的非家庭出院风险,更长的住院时间和更高的住院总费用.
结论:
- 患有MPE的患者经历心脏缩,在医院内死亡率明显高于患有NMPE的患者.
- 恶性心周溢出与资源利用的增加有关,包括更长的住院时间和更高的成本.
- 需要进一步的研究来优化MPE的治疗策略,特别是在寿命有限的患者中.
相关概念视频
01:19Pericarditis II: Clinical Features and Diagnostic Tests
287
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
287
01:17Pericarditis III: Medical Management
313
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
313
01:25Pericarditis IV: Nursing Management
321
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
321
01:22Pericarditis I: Introduction
336
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
336
01:21Cardiac Catheterization II: Right Heart Catheterization
831
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
831
01:28Pleural Effusion II: Symptoms and Management
655
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
655