二尖瓣手术后贫血与患者的长期生存

D. A. Matsuganov, M. Nuzhdin
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引用次数: 0

摘要

作者研究了贫血对二尖瓣手术后长期死亡率的影响。研究结果表明需要在术前解决这一可改变的因素。的目标。目的:分析贫血对二尖瓣手术后患者长期生存的影响。这项研究包括103名患者,其中46名男性,57名女性。13例患者在手术前出现贫血,90例患者无贫血。采用Kaplan-Meier估计比较两组患者的生存率。无贫血组术后生存率高于有贫血组(p = 0.002)。随访结束时,无贫血患者的生存率为50.2%,有贫血患者的生存率为0.0%。贫血是术前低血红蛋白患者术后并发症的独立预测因子。结果显示,贫血的存在使术前不良事件发生的风险增加了7.71倍。无贫血患者的长期生存率最高(达50.2%),而贫血患者的长期生存率为0.0%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANEMIA AND LONG-TERM SURVIVAL OF PATIENTS AFTER MITRAL VALVE SURGERY
HighlightsThe authors have studied anemia`s impact on the long-term mortality after mitral valve surgery. The research results indicate the need to address this modifiable factor in the preoperative period. Aim. To analyze the impact of anemia on the long-term survival of patients after mitral valve surgery.Methods. The study included 103 patients, 46 of them were men, 57 were women. Thirteen patients presented with anemia before surgery, and 90 patients did not have anemia. The survival rate of patients was compared using the Kaplan-Meier estimate.Results. The survival rate after surgery in the group of patients without anemia was higher compared with patients with anemia (p = 0,002). By the end of the follow-up period, the survival rate among patients without anemia reached 50.2%, whereas among patients with anemia it was 0.0%.Conclusion. Anemia is an independent predictor of complications in the postoperative period in patients with low preoperative hemoglobin levels. According to the results, the presence of anemia increases the risk of adverse events by 7.71 times in the preoperative period. Moreover, patients without anemia had the highest (up to 50.2%) survival rate in the long-term period, while patients with anemia had a survival rate equal to 0.0%.
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