桡动脉通路与降低急性肾损伤发生率的关系

Q4 Medicine
Sanjay Gandhi, Haris Khan, Umer Bin Tariq, Gulfan Ullah, Akmal Zubair
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引用次数: 0

摘要

该研究着眼于当代医学中桡动脉的使用,以降低急性肾损伤(AKI)的发生率。为了提高以患者为中心的手术安全性,本文评估了桡骨入路与股骨入路对比的证据。目的:确定介入手术中是否有桡动脉通路和AKI的发生率,重点评估桡动脉通路在降低AKI风险方面的可能优势。方法:对132例患者进行回顾性检查,并按入路位置(桡动脉相对于其他部位)进行分类。从2022年9月开始到2023年3月结束,研究时间为6个月。AKI发生率、手术细节和人口学数据进行比较。采用多变量logistic回归评估径向通路对AKI风险的独立影响。结果:桡动脉组AKI发生率(13.6%)明显低于对照组(27.3%)。多变量分析证实了独立关联。结论:桡动脉通路与减少术后AKI的可能相关性强调了一种更安全的替代方案的可能性。在以患者为中心的医疗保健时代,循证访问地点的选择变得越来越重要,以改善手术结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Access to the Radial Artery with Reduced Incidence of Acute Kidney Injury
The research looks at access to the radial artery in contemporary medicine to lower the occurrence of acute kidney injury (AKI). In an effort to increase patient-centered procedural safety, it evaluates evidence contrasting radial versus femoral access. Objective: To determine if access to the radial artery and the prevalence of AKI during interventional procedures, with an emphasis on evaluating the possible advantages of radial access in lowering the risk of AKI. Methods: An examination of 132 instances classified by access location (radial artery as opposed to other sites) was done retrospectively. Beginning in September 2022 and ending in March 2023, the study's length was six months. AKI incidence, procedure specifics, and demographic data were compared. The independent influence of radial access on the risk of AKI was evaluated using multivariate logistic regression. Results: The radial artery group (13.6%) exhibited a significantly lower AKI incidence than the comparator group (27.3%). Multivariate analysis confirmed the independent association. Conclusions: The possible relevance of access to the radial artery in reducing post-procedural AKI highlights the possibility of a safer alternative. Evidence-based access site selection is becoming more crucial in the age of patient-centered healthcare to improve procedural outcomes.
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来源期刊
Pakistan Journal of Medical & Health Sciences
Pakistan Journal of Medical & Health Sciences MEDICINE, GENERAL & INTERNAL-
自引率
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0
期刊介绍: Pakistan Journal of Medical and Health Sciences is an international biomedical journal from Pakistan. We publish materials of interest to the practitioners and scientists in the broad field of medicine. Articles describing original qualitative, quantitative, human/animal clinical or laboratory studies are considered for publication.
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