接受心脏手术的成人先天性心脏病患者的结局：萨迪托医院的临床经验
Outcome of adult congenital heart disease patients undergoing cardiac surgery: clinical experience of dr. Sardjito hospital.
作者信息
Kurniawaty Juni, Widyastuti Yunita
机构信息
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
出版信息
BMC Proc. 2019 Dec 16;13(Suppl 11):16. doi: 10.1186/s12919-019-0178-5. eCollection 2019.
BACKGROUND
Patients with congenital heart disease require surgery to correct the cardiac defect they had in order to prevent heart failure. Unfortunately, data regarding outcome of adult CHD in Indonesia is still limited. In contrast with developed countries, many congenital heart surgery patients in developing countries are adults. The purpose of this study was to investigate the outcomes of cardiac surgery procedures among adult congenital heart disease patients, and what factors that might influence the outcome of surgery.
METHODS
A retrospective study was performed on adult congenital heart disease patients undergoing cardiac surgery at Dr. Sardjito Hospital between April 2018 and March 2019. Variables included in the study were demographic characteristics, laboratory test results, comorbidities, premedication, Cardiopulmonary Bypass (CPB) and ischemia duration were included in the analysis. Outcomes were in-hospital mortality, hospital length of stay, and ICU length of stay.
RESULTS
A total of 25 congenital heart disease patients [19 Atrial Septeal Defect (ASD) patients, and 6 Ventricular Septal Defect (VSD) patients] underwent a cardiac surgery procedure at Dr. Sardjito Hospital during the study period. Mean age was 31 ± 14.92 years. The majority of patients had pulmonary hypertension. During the study period, none of the patients died during postoperative care in the hospital, mean hospital length of stay (LOS) was 8.35 ± 3.39 days and ICU LOS was 26.53 ± 11.33 h.
CONCLUSION
Surgery in adult patients with congenital heart disease may be successfully performed with low morbidity and mortality.
背景
先天性心脏病患者需要通过手术来纠正心脏缺陷，以预防心力衰竭。不幸的是，关于印度尼西亚成人先天性心脏病（CHD）治疗结果的数据仍然有限。与发达国家不同，发展中国家许多先天性心脏病手术患者为成年人。本研究的目的是调查成人先天性心脏病患者心脏手术的结果，以及可能影响手术结果的因素。
方法
对2018年4月至2019年3月在萨迪托博士医院接受心脏手术的成人先天性心脏病患者进行回顾性研究。纳入研究的变量包括人口统计学特征、实验室检查结果、合并症、术前用药、体外循环（CPB）和缺血时间，并进行分析。观察指标为住院死亡率、住院时间和重症监护病房（ICU）住院时间。
结果
在研究期间，共有25例先天性心脏病患者[19例房间隔缺损（ASD）患者和6例室间隔缺损（VSD）患者]在萨迪托博士医院接受了心脏手术。平均年龄为31±14.92岁。大多数患者患有肺动脉高压。在研究期间，没有患者在术后住院护理期间死亡，平均住院时间（LOS）为8.35±3.39天，ICU住院时间为26.53±11.33小时。
结论
成人先天性心脏病患者的手术可以成功进行，且发病率和死亡率较低。
Zotero 插件