儿科心脏外科的住院结果 对于先天性心脏病的急性传染性内心炎的入院
Mohamed F Elsisy1, Tammy Ruth2, Garrett Coyan3
1Division of Pediatric Cardiology, Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN, USA. mohamed.elsisy@vumc.org.
Pediatric cardiology
|September 26, 2025
概括
患有先天性心脏病的儿童感染性内心炎的死亡率很高,即使进行心脏手术. 老年,心力衰竭,中风和ECMO是预测医院死亡的关键因素.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 传染性疾病 传染性疾病
- 心脏外科手术 心脏外科手术
背景情况:
- 在患有先天性心脏病 (CHD) 的儿童中,传染性内心炎 (IE) 是罕见的.
- 关于为IE接受心脏手术的儿科心脏病患者在医院治疗的结果,数据有限.
- 了解结果对于管理这种高风险人群至关重要.
研究的目的:
- 描述因IE而住院的患有心血管疾病的儿科患者的住院结果.
- 为了比较那些需要心脏手术与医疗治疗之间的结果.
- 在这个队列中确定与住院死亡率相关的因素.
主要方法:
- 儿科健康信息系统的回顾性审查 (2016年1月 - 2024年11月).
- 对2108名患有心脏病的儿科患者 (≤21岁) 的分析.
- 细分分析比较手术与医疗管理组.
主要成果:
- 在CHD中IE发病率为1.000分之5.6. 葡萄球菌和链球菌是最常见的病原体.
- 30%的患者需要心脏手术;肺/导管和三管手术是最常见的.
- 在手术 (10.1%) 和医疗 (9.6%) 组之间,住院死亡率相似. 中风发生在10.7%的人中.
结论:
- 儿科心脏病患者感染性内心炎的发病率和死亡率显著.
- 与医学治疗相比,心脏手术并没有显著降低住院死亡率.
- 老年,心力衰竭,中风和ECMO要求独立预测住院死亡率.
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