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对“意大利多中心研究中Fontan手术的术后结果”的回应

Response to "Postoperative Outcomes of Fontan Operation in a Multicenter Italian Study".

作者信息

Murtaza Muzna, Muhammad Hanif Zainab, Murtaza Minha, Kumar Mukesh, Venjhraj F N U

机构信息

Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.

Dow University of Health Sciences, Karachi, Pakistan.

出版信息

Pediatr Cardiol. 2025 Jan;46(1):239-240. doi: 10.1007/s00246-024-03688-2. Epub 2024 Oct 18.

DOI:10.1007/s00246-024-03688-2
PMID:39424657
Abstract

The article "Postoperative Outcomes of Fontan Operation in a Multicenter Italian Study" by Irene Cao et al. provides valuable insights into early outcomes of the Fontan procedure. However, it highlights significant limitations, including the lack of long-term follow-up, restricting understanding of lasting patient health effects. The absence of a control group further hinders assessment of the procedure's effectiveness. Additionally, inadequate discussion of postoperative care protocols limits the study's clinical relevance. In conclusion, future research should focus on comprehensive long-term assessments and include control groups to better inform clinical decision-making regarding the Fontan procedure's impact on patient health.

摘要

艾琳·曹等人撰写的《意大利多中心研究中Fontan手术的术后结果》一文,对Fontan手术的早期结果提供了有价值的见解。然而,它也突出了显著的局限性,包括缺乏长期随访,这限制了对患者长期健康影响的理解。没有对照组进一步阻碍了对该手术有效性的评估。此外,对术后护理方案的讨论不足限制了该研究的临床相关性。总之,未来的研究应侧重于全面的长期评估,并纳入对照组,以便更好地为关于Fontan手术对患者健康影响的临床决策提供依据。

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本文引用的文献

1
Postoperative Outcomes of Fontan Operation in a Multicenter Italian Study. How Far Have We Gone? Early Outcomes After Fontan Operation.一项意大利多中心研究中Fontan手术的术后结果。我们进展到了什么程度?Fontan手术后的早期结果。
Pediatr Cardiol. 2024 Sep 17. doi: 10.1007/s00246-024-03642-2.
2
The pathophysiology and complications of Fontan circulation.Fontan循环的病理生理学及并发症。
Acta Biomed. 2021 Nov 3;92(5):e2021260. doi: 10.23750/abm.v92i5.10893.
3
Perioperative and long-term management of Fontan patients.Fontan手术患者的围手术期及长期管理
Cardiol Young. 2021 May;31(5):775-785. doi: 10.1017/S1047951120004618. Epub 2021 Jan 12.
4
40-Year Follow-Up After the Fontan Operation: Long-Term Outcomes of 1,052 Patients.Fontan 手术后 40 年随访:1052 例患者的长期结果。
J Am Coll Cardiol. 2015 Oct 13;66(15):1700-10. doi: 10.1016/j.jacc.2015.07.065.
5
Cardiac rest and reserve function in patients with Fontan circulation.采用Fontan循环的患者的心脏静息和储备功能
J Am Coll Cardiol. 2006 Jun 20;47(12):2528-35. doi: 10.1016/j.jacc.2006.03.022. Epub 2006 May 30.