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围绕手术安全结果的性别差异和随心脏植入式电子设备的死亡率静脉输血取

Pawel Borkowski¹, Marco Schiavone², Fengwei Jasper Zou³

¹Division of Internal Medicine, Jacobi Medical Center, Albert Einstein College Medicine, Bronx, New York, USA.

Journal of cardiovascular electrophysiology

|November 4, 2025

概括

接受过静脉取 (TLE) 的女性面临心脏和肺部并发症的风险更高,尽管与男性相比,死亡率相似. 这强调了在TLE程序中需要针对性别的策略.

科学领域:

心脏病学心脏病学
电力生理学电力生理学
医疗器械并发症医疗器械并发症

背景情况:

心脏植入式电子设备 (CIED) 是至关重要的,但可能导致需要输血提取 (TLE) 的并发症.
现有的研究表明,心血管结果存在基于性别的差异,但TLE特异性并发症的性别差异仍未得到充分研究.

研究的目的:

调查和比较经过TLE的男性和女性之间的术前结果.
为了确定TLE手术后并发症率的潜在性别相关差异.

主要方法:

一个回顾性,观察性队列研究,利用国家住院样本 (NIS) 数据库从2016-2019年.
经过TLE的患者通过ICD-10代码被识别出来,同时进行心脏手术或不完整数据被排除在外.
倾向性得分匹配 (1:1) 平衡的共变量,然后进行单变量和多变量逻辑回归分析以评估结果.

主要成果:

匹配的队列包括20970名TLE入院 (10,480名男性,10,490名女性).
性别之间在住院死亡率上没有明显的差异 (p=0.184).
妇女患心脏并发症 (OR:1.24) 和肺部并发症 (OR:1.21) 的风险明显更高,包括心周溢血,坦波纳德,肺胸和血胸,而男性患血管并发症的风险更高 (OR:0.76).

结论:

经过TLE的女性比男性患心脏和肺部并发症的比例要高得多,尽管在医院死亡率相对较高.
这些发现强调了针对性别的风险分层和针对TLE的量身定制的程序规划的关键需求,以提高患者的安全性和优化结果.

关键词:

区分区分区分区分区分区分区分区分这是一个复杂的并发症.提取提取提取提取领导领导领导领导领导领导领导领导领导领导在性爱中,性爱是性爱.

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