大多数经过腹腔动脉动脉瘤破裂修复的患者能够回到家中
Omar ElShazly1, Alik Farber2, Elizabeth King2
1Medical College of Georgia, Augusta University, Augusta, GA, USA; Division of Vascular and Endovascular Surgery, Department of Surgery, Boston University, Chobanian and Avedisian School of Medicine, Boston, MA.
Annals of vascular surgery
|March 11, 2026
概括
大多数经过腹部大动脉动脉瘤破裂 (rAAA) 修复的患者会回家,但年龄和女性性别等因素会影响长期的家庭生活. 需要进一步的研究,以改善rAAA后的长期随访率.
科学领域:
- 血管外科 血管外科
- 患者的治疗结果.
- 公共卫生 公共卫生
背景情况:
- 破裂腹腔大动脉动脉瘤 (rAAA) 是一种严重的健康紧急情况,死亡率高.
- 在rAAA修复后返回家庭生活是一个关键的质量指标,但其可预测性仍然不清楚.
研究的目的:
- 评估患者在经过腹腔大动脉瘤破裂 (rAAA) 修复后返回家庭生活的比例.
- 为了确定与无法返回家园的长期生活后rAAA相关的风险因素.
主要方法:
- 对接受rAAA修复的患者进行血管质量倡议 (2003-2022) 注册表的分析.
- 评估最初的出院目的地和幸存者的长期生活状况.
- 风险调整分析以确定无法返回家园的预测因素.
主要成果:
- 在rAAA修复后活着出院的5272名患者中,62.4%最初返回家园.
- 在长期随访患者中 (n=2822),有84%的人住在家里,但22.2%的出院患者长期不在家里.
- 年龄较大,女性性别,手术前心脏骤停和手术后肺部并发症与不回家有显著的关联.
结论:
- 大约三分之二的rAAA幸存者回到家庭生活,更高的比例实现了长期的这一目标.
- 影响长期回家的关键因素包括年龄,性别,手术前心脏骤停和肺部并发症.
- 很大一部分患者缺乏长期随访,突出了实践改进的领域.
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