中心吐和穿皮左心房尾关闭的住院结果
Gilad Margolis1, Lior Haim2, Adam Folman2
1Division of Cardiovascular Medicine, Hillel Yaffe Medical Center, The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel. giladm@hymc.gov.il.
概括
显著的额头回 (MR) 增加了皮肤穿左心房尾关闭 (LAAC) 期间急性损伤的风险. 然而,在这项大型美国研究中,MR并没有影响整体并发症或死亡率.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 显著的额头骨反 (MR) 与心脏和非心脏手术的不良结果有关.
- 它对皮肤穿透左心房关闭 (LAAC) 的特定影响尚未得到充分证实.
研究的目的:
- 为了调查MR和经过皮肤 LAAC 的住院结果之间的关联.
- 确定MR是否是LAAC患者并发症的独立预测因素.
主要方法:
- 2016-2021年美国国家住院样本 (NIS) 数据库的分析.
- 包括接受皮LAAC的患者,有或没有MR诊断.
- 使用多变量逻辑回归对基线特征和住院结果进行比较.
主要成果:
- 在123785名LAAC患者中,5.9%的人患有MR.
- MR 患者年龄较大,风险得分较高,急性损伤 (AKI) 发病率较高.
- MR独立预测了AKI (OR=1.38),但不是整体并发症或死亡率.
结论:
- 额叶吐是急性损伤的独立预测因子,在接受皮肤间LAAC的患者中.
- 在这个全国性的注册中,MR与心脏,血管并发症或住院死亡率的增加无关.
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