患有传染性内心炎入院患者的短期结果和资源利用,这些患者患有心周溢血:回顾性队列研究
Nameer Ascandar1, Sajog Kansakar2, Waqas Qureshi3
1Department of Internal Medicine, HCA Florida Sarasota Doctors Hospital, Sarasota, FL, USA.
Journal of community hospital internal medicine perspectives
|March 11, 2026
概括
在感染性内心炎 (IE) 患者中,心周输液 (PCE) 会导致更糟糕的结果和更高的成本. 然而,在住院期间排泄出血减少了这些患者的30天再入院.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在传染性内心炎 (IE) 中,心周输液 (PCE) 可以使患者的结果恶化,并增加医疗保健资源的使用.
- 关于PCE发病的IE患者的临床结果,资源利用率和再入院率的当代数据有限.
研究的目的:
- 为了检查临床结果,资源利用率和30天的再入院率,在患者接受IE并发展PCE.
- 为了比较IE患者与没有PCE之间的结果.
主要方法:
- 利用全国再录取数据库 (2016-2022) 对成人IE入学情况.
- 员工调查加权后勤和线性回归分析住院死亡率,临床结果,成本和30天再入院.
- 进行了风险调整分析,以评估PCE与各种结果的关联.
主要成果:
- 在162,694名IE患者中,1.8%患有PCE.
- PCE与增加住院死亡率,急性心力衰竭,心脏性休克,急性损伤和需要机械循环支持的几率有关.
- PCE与更长的住院时间和更高的成本相关,但指数入院期间的排水降低了30天再入院率.
结论:
- 在IE患者中,PCE与较差的临床结果有关,包括死亡率,更长的住院时间和成本增加.
- 在初始住院期间干预以排出PCE与减少30天的非选择性再入院有关.
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