在接受先天性心脏手术的新生儿中进行气管切除术的国家经验:多中心分析
Hosam F Ahmed1,2, Muhammad Faateh1, Kevin Kulshrestha1
1Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY .
Critical care explorations
|November 24, 2025
概括
在接受先天性心脏手术 (CHS) 的婴儿中,气管切除术的使用有所增加,与更高的死亡率,更长的住院时间和成本增加有关. 然而,这些患者的住院死亡率随着时间的推移而保持相似.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 心脏病学 心脏病学
背景情况:
- 新生儿的先天性心脏手术 (CHS) 是复杂的.
- 气管切除术有时需要用于呼吸支.
- 了解CHS中气管切除术的趋势和结果至关重要.
研究的目的:
- 描述接受CHS的婴儿中气管切除术的使用趋势.
- 在这个人群中分析与气管切除术相关的临床和财务结果.
主要方法:
- 使用儿科健康信息系统数据库进行回顾性队列研究.
- 确定的新生儿 (≤28天) 从2004年至2022年接受心肺旁路术 (CPB) 的CHS.
- 带有和没有气管切除术的患者之间的结果比较.
主要成果:
- 在13,415名CHS患者中,3%接受了气管切除术.
- 气管切除术患者的早产率较高,出生体重低,染色体,呼吸道和肺部异常.
- 气管切除术与增加的死亡率 (23.8%与8.6%相比),更长的住院时间 (183天与26天相比) 和更高的成本 (120万美元与20万美元相比) 有关.
结论:
- 在接受CHS的新生儿中,气管切除术的发生率有所增加.
- 气管切除术的危险因素包括先天性气道/肺部问题和染色体疾病.
- 气管切除术与显著更糟糕的临床和财务结果有关.
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