Adverse event rates in congenital cardiac catheterization: a new understanding of risks.
Adverse event rates in congenital cardiac catheterization: a new understanding of risks.
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DOI：
10.1111/j.1747-0803.2008.00176.x
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发表时间：
2008-03-01
影响因子：
0.3
通讯作者：
Lock, James E
中科院分区：
文献类型：
--
作者：
Bergersen, Lisa;Gauvreau, Kimberlee;Lock, James E
我们试图描述先天性心脏导管插入术中不良事件（AE）的频率、严重程度和可归因性，并确定与AE相关的患者和手术特征。任何不良事件的风险与年龄< 1岁（比值比[OR] 2.3）、介入病例（OR 2.2）、增加手术类型风险组（OR 1、2.0、2.5）和血流动力学脆弱性指标（OR 1.6）相关，所有p < 0.001。这些因素和体重也与高严重性事件的风险增加相关，但年轻人除外。我们对先天性心脏导管插入术病例中不良结局风险人群的理解可以通过开发和细化按不良结局相似风险对手术类型和患者特征进行分类的变量来增强。
We sought to characterize the frequency, severity, and attributability of adverse events (AE) in congenital cardiac catheterization and identify patient and procedural characteristics associated with AE. Risk for any AE was associated with age < 1 year (odds ratio [OR] 2.3), interventional cases (OR 2.2), increasing procedure type risk group (OR 1, 2.0, 2.5), and indicator of hemodynamic vulnerability (OR 1.6), all p < 0.001. Each of these and weight were also associated with increased risk for high severity events, except for young age. Our understanding of populations at risk for adverse outcomes in congenital cardiac catheterization cases can be enhanced through the development and refinement of variables that categorize procedure types and patient characteristics by similar risk for adverse outcomes.