氨甲环酸与非泵手术后谵妄的风险。

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Thoracic and Cardiovascular Surgeon Pub Date : 2024-01-01 Epub Date: 2022-06-06 DOI:10.1055/s-0042-1745811

Nikolai Hulde, Armin Zittermann, Marcus-Andre Deutsch, Jan F Gummert, Vera von Dossow, Andreas Koster

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引用次数: 0

摘要

我们使用倾向评分匹配方法研究了非体外循环冠状动脉搭桥术患者单次注射1g氨甲环酸(TXA)是否会影响术后谵妄的风险。在2757对患者中，患谵妄的风险分别为4.2% (TXA组)和5.0%(非TXA组)，TXA组与非TXA组的相对风险为0.83(95%可信区间:0.65-1.07;p = 0.16)。TXA给药与肾功能对谵妄风险无显著相互作用(p = 0.12)。数据表明，单次1克TXA不会增加非泵手术患者谵妄的风险。

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Tranexamic Acid and the Risk of Delirium after Off-Pump Surgery.

We investigated whether in patients undergoing off-pump coronary artery bypass grafting surgery a single bolus of 1 g tranexamic acid (TXA) impacts the risk of postoperative delirium using the propensity score matching approach. In 2,757 pairs, the risk of delirium was 4.2% (TXA group) and 5.0% (non-TXA group), with a relative risk in the TXA versus the non-TXA group of 0.83 (95% confidence interval: 0.65-1.07; p = 0.16). There was no significant interaction between TXA administration and renal function on the risk of delirium (p = 0.12). Data indicate that a single bolus of 1 g TXA does not increase the risk of delirium in patients undergoing off-pump surgery.

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来源期刊

Thoracic and Cardiovascular Surgeon 医学-呼吸系统

CiteScore

3.40

自引率

6.70%

发文量

365

审稿时长

3 months

期刊介绍： The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.