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透皮冠状动脉干预在移植接受者中的趋势,特征和结果
Song Peng Ang1, Jia Ee Chia2, Chayakrit Krittanawong3
1Division of Cardiology, Sarver Heart Center, University of Arizona, Tucson, AZ, USA.
Angiology
|March 10, 2026
概括
接受皮肤冠状动脉干预 (PCI) 的移植接受者 (KTR) 的住院死亡率与其他患者相似. 然而,KTR患者经历了急性损伤 (AKI) 的更高风险和PCI后医疗资源利用率的增加.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 移植接受者 (KTRs) 的心血管疾病风险增加.
- 经过皮肤冠状动脉干预 (PCI) 的KTRs的结果尚未确定.
- PCI是冠状动脉疾病的常见手术.
研究的目的:
- 为了比较KTR和接受PCI的非移植患者之间的住院结果.
- 在PCI后的KTR中识别时间趋势和死亡率预测因素.
- 为接受PCI的KTR提供量身定制的护理策略.
主要方法:
- 利用国家住院患者样本 (2016-2021) 进行成人PCI住院治疗.
- 将患者分为KTR和非移植组.
- 雇员倾向-得分匹配 (PSM) 和多变量逻辑回归用于分析.
主要成果:
- 与非移植患者 (n=2,669,110) 相比,KTRs (n=8300) 的未调整死亡率较高,但PSM后的死亡率相似.
- 在PCI后,KTR显示急性损伤 (AKI) 的风险显著增加 (25.7%与16.1%相比).
- 韩国人经历了更长的住院时间和更高的住院成本.
结论:
- 在PCI后的住院死亡率在KTR和非移植患者之间类似.
- 接受PCI的KTR面临AKI的风险增加和更多的资源利用.
- 量身定制的风险分层和程序后监测对于KTRs至关重要.
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