反复急诊房颤患者的临床特征及预后

发布时间：2018-04-18 19:29

  本文选题：心房纤颤 + 急诊　； 参考：《解放军医学杂志》2017年02期

【摘要】：目的探索反复急诊房颤患者的临床特征、反复就诊规律及转归。方法对北京大学第三医院2011年1月-2015年12月连续5年急诊抢救室收治房颤患者的重复急诊情况进行回顾性分析,探讨影响这些患者再就诊的相关因素。结果共纳入908例房颤患者,女494例,男414例,年龄70.3±12.8岁。共获取1522次首次及随后的急诊就诊资料,其中重复急诊患者262例(28.9%),未再就诊患者646例(71.1%)。与未复诊患者相比,复诊患者首次急诊抢救时年龄大、CHADS2-VASc评分≥2的比例高,但首次抢救室救治时间短、首次抢救后直接出院而非转监护室及普通病房的患者比例高。多因素分析结果显示,CHADS2-VASc评分高和抢救时间短对反复急诊有预测意义。结论反复急诊的房颤患者病情较复杂,合并情况较多,但病情相对较轻。
[Abstract]:Objective to explore the clinical features, regularity and outcome of repeated emergency atrial fibrillation.Methods the repeated emergency cases of patients with atrial fibrillation admitted in emergency rescue room of Peking University third Hospital from January 2011 to December 2015 were analyzed retrospectively, and the related factors affecting the revisiting of these patients were discussed.Results A total of 908 patients with atrial fibrillation were included, including 494 women and 414 men, aged 70.3 卤12.8 years.A total of 1522 first and subsequent emergency visits were obtained. Among them, 262 cases were repeated in the emergency department, 646 cases were not seen again.Compared with the untreated patients, the proportion of the older patients with CHADS2-VASc score 鈮，

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