动员对Levitronix型短期机械循环支持患者的影响® Centrimag作为心脏移植的桥梁

IF 1.1 Q3 NURSING Enfermeria Intensiva Pub Date : 2023-01-01 DOI:10.1016/j.enfi.2022.03.003
A. Chicano-Corrales RN , J. Bañeras-Rius MD, PhD , F. de Frutos MD , J.C. Sánchez-Salado MD , A. Ariza-Solé MD, PhD , A. Blasco-Lucas MD, PhD , F. Sbraga MD , C. Díez-López MD , E. Calvo-Barriuso RN , J. Castillo García RN, MsU, PhD , C.S. Molina-Mazón RN, MSN , A. López-López RN , I. Tinoco-Amorós RN , A. Abellán-García RN , J. González-Costello MD
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引用次数: 0

摘要

引言尽管动员对危重患者有好处,但在使用Levitronix®CentriMag作为心脏移植(HT)桥梁的患者中几乎没有证据。本研究的目的是分析流动性对这些患者的影响。方法对2010年至2019年间入住“巴塞罗那大学医院”接受Levitronix®CentriMag HT治疗的患者进行回顾性观察研究。评估HT时的行动能力和营养状况。评估结果包括感染、住院时间和死亡率。结果27例患者按活动度分为两组(22例活动度低,5例活动度高)。低活动度患者HT后90天生存率为63.6%,高活动度组为80%;没有观察到统计学上的显著差异。在HT后30天的ICU出院方面没有观察到差异。然而,在低迁移率组中观察到较低的白蛋白水平(24.5g/L(IQR:23-30)对33g/L(IQR:26-36);p=0.029)。低活动性患者HT后有创机械通气(IMV)时间较长(p=0.014)。活动性组之间的压疮或HT后感染的出现没有显著差异。结论高活动度患者IMV发生时间短,营养状况好。未观察到与移动性相关的并发症。在活动程度与90天死亡率、ICU住院时间或HT后不良事件之间没有观察到差异。
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Impacto de la movilización en pacientes portadores de soporte circulatorio mecánico de corta duración tipo Levitronix® CentriMag como puente a trasplante cardíaco

Introduction

Despite the benefits of mobilization in the critical patient, the evidence in patients with Levitronix® CentriMag as a bridge to heart transplantation (HT) is almost absent. The objective of this study is to analyze the impact of mobility on these patients.

Methods

Retrospective observational study of patients who received a HT with Levitronix® CentriMag admitted between 2010 and 2019 to “Hospital Universitario de Bellvitge” (Barcelona). Degree of mobility and nutritional status were assessed at the time of HT. Outcomes including infections, length of hospital admission and mortality were evaluated.

Results

27 patients were included and divided in two groups according to degree of mobility (22 with low mobility and 5 with high mobility). 90-day survival after HT was 63.6% in patients with low mobility and 80% in high mobility group; no statistically significant differences were observed. No differences were observed regarding ICU discharge after HT at 30 days. Nevertheless, lower albumin levels were observed in low mobility group (24.5 g/L (IQR: 23-30) vs. 33 g/L (IQR: 26-36); p = 0.029). Invasive mechanical ventilation (IMV) post HT was longer in patients with low mobility (p = 0.014). There were no significant differences in appearance of pressure ulcers, or post-HT infections among mobility groups.

Conclusions

Patients with high mobility had a shorter time of IMV and a better nutritional status. No complications were observed associated to mobility. No differences were observed between the degree of mobility and 90-day mortality, ICU stay or post-HT adverse events.

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来源期刊
CiteScore
2.50
自引率
23.10%
发文量
48
期刊介绍: Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.
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