ty -jour a2 -smereka,jacek au -hsu chen,cheng au -chang,chih -yu au -yang,mei -chueh au -wu -wu,jr -hau au -liao -liao,ching -hui au -su,su,chih -pei au au au,chih pei au au au au au-Chen,Yu -Chih au -ho,Shinn -Ying Au -Huang,Cheng -Chieh au -Lee -Lee,Tsung -Han Au -Chen,Wen -Liang Au -Chou -Chou,Chu -Chung Au -Lin,lin,Yan -Yan -Ren Py--2019 DA -2019/12/20 TI-紧急干预和患者特征对非创伤性OHCA SP患者心力衰竭风险的影响-6218389 VL -2019 AB-
背景。由于院外心脏骤停 - (OHCA-)相关功能障碍(缺血/再灌注损伤和炎症反应)可能会导致长期损害,因此我们怀疑在长期幸存者中,新发作的心力衰竭可能很常见。但是,这些关系尚未得到很好的解决,我们旨在分析紧急干预措施和患者特征对非创伤性OHCA患者新发作心力衰竭风险的影响。
方法。台湾政府医疗保健数据库包含2011年至2012年4911名非创伤OHCA成年患者的数据,这在这项研究中进行了分析。将幸存到重症监护病房(ICU)的非创伤性OHCA患者作为研究组包括在内(ICU)(
n = 7,321). Matched patients (
n = 21,963) were recruited as a comparison group. Patients with any history of heart failure or cardiac arrest were not included in either group. All patients were followed-up for 6 months for the identification of new-onset heart failure. Adjustments were made for demographics, age, emergency interventions, and comorbidities as potential risk factors.
结果。总共3.84%(
n = 281) of OHCA patients suffered new-onset heart failure, while only 1.24% (
n = 272) of matched patients in the comparison group suffered new-onset heart failure. Strong risk factors for heart failure were age (60–75 years, HR: 11.4; 95% CI: 9–14.4), medical history (myocardial infarction, HR: 2.47; 95% CI: 2.05–2.98 and cardiomyopathy, HR: 2.94; 95% CI: 1.45–5.94), and comorbidities during hospitalization (ischemic heart disease, HR: 4.5; 95% CI: 3.46–5.86). Only extracorporeal membrane oxygenation (ECMO) decreased the risk of heart failure. Most (53.6%) heart failure events occurred within 60 days after OHCA.
结论。年龄从61岁到75岁,是心肌梗塞或心肌病的史以及缺血性心脏病或感染,因为住院期间发生合并症是OHCA患者新发育心力衰竭的强大危险因素。但是,ECMO可能会降低这种风险。更重要的是,大多数心力衰竭事件发生在OHCA后60天内。SN -2090-2840 UR -https://doi.org/10.1155/2019/6218389 do -10.1155/2019/2019/6218389 JF-急诊医学国际PB -Hindawi KW- hindawi kw -er--er- er- er-- er-