腹腔镜胆囊切除术与开腹胆囊切除术相比，心肌梗死和全因死亡率更低。

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Future cardiology Pub Date : 2023-12-01 Epub Date: 2023-12-19 DOI:10.2217/fca-2023-0102

Taft Keele, Mehrtash Hashemzadeh, Mohammad Reza Movahed

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引用次数: 0

摘要

目的：我们比较了开腹胆囊切除术（OC）与腹腔镜胆囊切除术（LC）的住院结果数据。患者与方法：我们使用了 2010-2014 年的全国住院病人样本数据库。结果：340999名患者接受了腹腔镜胆囊切除术，68529名患者接受了开腹胆囊切除术。2010年，ST段抬高型心肌梗死（STEMI）的发生率为0.2%对0%（OR：3.1，CI：1.7-5.5；P 结论：与低密度脂蛋白血症相比，OC 与 STEMI、非 STEMI 和全因住院患者死亡率密切相关。

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Lower myocardial infarction and all-cause mortality with laparoscopic cholecystectomy compared with open cholecystectomy.

Aim: We compared inpatient outcome data of open (OC) versus laparoscopic cholecystectomy (LC). Patients & methods: We used the National Inpatient Samples database from 2010-2014. Results: LC was done in 340,999 and OC in 68,529 OC patients. In 2010, ST-elevation myocardial infarction (STEMI) prevalence was 0.2 versus 0% (OR: 3.1, CI: 1.7-5.5; p < 0.001), non-STEMI 1 versus 0.4% (OR: 2.5 CI: 2.0-3.0; p < 0001), mortality 3.4 versus 0.4% (OR: 9.2, CI: 7.9-10.6; p < 0001). After multivariate adjustment, OC remained independently associated with STEMI, non-STEMI and all-cause inpatient mortality (mortality multivariate OR: 6.4, CI: 5.5-7.4; p < 0001, STEMI OR: 2.2. CI: 1.2-3.9; p = 0.007, non-STEMI OR: 1.5, CI: 1.3-1.9; p < 0001). Conclusion: OC is independently associated with STEMI, non-STEMI and all-cause inpatient mortality compared with LC.

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来源期刊

Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.80

自引率

5.90%

发文量

期刊介绍： Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.