住院接受常规心脏起器植入的患者的临床结果与蛋白质-能量营养不良
Phuuwadith Wattanachayakul1,2, Pojsakorn Danpanichkul3, Chalothorn Wannaphut4
1Department of Medicine Jefferson Einstein Hospital Philadelphia Pennsylvania USA.
Journal of arrhythmia
|February 2, 2026
概括
蛋白质能量营养不良 (PEM) 在接受起器的患者中显著增加死亡率,住院和并发症. 早期识别和管理PEM对于在心脏起器植入后更好的患者结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 营养科学 营养科学
背景情况:
- 蛋白质能量营养不良 (PEM) 对接受常规心脏起器植入的患者的影响尚不清楚.
- 传统的起器植入是治疗心律障碍的常见程序.
研究的目的:
- 评估蛋白质能量营养不良 (PEM) 与接受常规心脏起器植入的患者的住院结果之间的关联.
- 在这个患者群体中确定与PEM相关的特定并发症和死亡风险.
主要方法:
- 使用了2020年美国国家住院样本 (NIS) 数据库.
- 鉴定了使用ICD-10代码进行常规心脏起器植入的18岁以上的患者.
- 采用多变量逻辑和线性回归分析来评估住院结果.
主要成果:
- 总共分析了108,020名患者,其中4,315名 (3.99%) 被诊断为PEM.
- 预发性脑炎与增加的住院死亡率 (aOR 3.30),长时间住院 (β 7.89) 和更高的败血症,出血/贫血,肺胸病和心周并发症风险显著相关.
- 该队列的整体死亡率为1.07%.
结论:
- 蛋白质能量营养不良 (PEM) 与常规心脏起器植入后更糟糕的住院结果有关,包括死亡率和并发症.
- 及时识别和管理PEM对于改善患者康复和减少心脏起器手术后不良事件至关重要.
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