心内膜炎外科手术的趋势:来自全州质量合作的15年经验
Ahmet Can Topcu1,2, Patricia F Theurer2, Chang He2
1Department of Cardiovascular Surgery, Kosuyolu Education and Research Hospital, Istanbul, Turkey.
Annals of thoracic surgery short reports
|December 22, 2025
概括
密歇根州内心炎的心脏手术程序在密歇根州增加. 虽然死亡率下降,但患者特征和医疗相关感染的整体趋势保持稳定.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在过去二十年中,内心炎住院和医疗保健费用在美国不断上升.
- 需要了解内心炎心脏手术的趋势.
- 描述这些程序的患者人口统计和结果.
研究的目的:
- 评估内心炎心脏外科手术过程中的趋势.
- 分析患者的人口统计和结果.
- 评估内心炎原因和手术结果的变化.
主要方法:
- 使用前性收集的数据进行回顾性多中心研究.
- 在密歇根州 (2008-2022) 接受因内心炎的开放膜手术的成年人.
- 考克兰-阿米塔奇趋势测试用于分析患者特征,内心炎原因和结果.
主要成果:
- 因内心炎而进行的膜手术比例从3.8% (2008) 增加到8.9% (2022).
- 死亡率从13.6%降至9.0%,但在统计学上并不显著.
- 没有观察到与医疗保健相关的内心炎病例的显著趋势.
结论:
- 密歇根州 (2008-2022) 针对内心炎的手术膜手术稳步增加.
- 在手术死亡率,患者风险概况或与医疗相关的内心炎发病率方面没有发现显著变化.
- 对内心炎的手术干预增加,结果或风险因素没有显著变化.
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