Tỷ lệ tử vong 3 tháng của bệnh nhân tắc động mạch phổi cấp và một số yếu tố liên quan tại Bệnh viện Đại học Y Hà Nội=Mortality rate of patients with acute pulmonary embolism and related factors at Hanoi Medical University Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Giang Phúc Đỗ, Bùi Hải Hoàng, Thị Phương Nhi Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.79-88

Bộ sưu tập: Metadata

ID: 244779

Thêm vào giỏ

Nghiên cứu đánh giá tỷ lệ tử vong ở bệnh nhân tắc động mạch phổi cấp sau 3 tháng từ chẩn đoán và các yếu tố liên quan. Hồi cứu 174 hồ sơ bệnh nhân có mã ICD là tắc động mạch phổi cấp tại Bệnh viện Đại học Y Hà Nội từ 1/2019 đến 5/2024. Nghiên cứu thu thập được 114 bệnh nhân với độ tuổi trung bình là 61,3 ± 17,4. Tỷ lệ tử vong tại viện là 7,1%
tỷ lệ tử vong sau 3 tháng là 20,2%, trong đó 5,1% liên quan trực tiếp đến tắc động mạch phổi. Chỉ số bệnh kèm Charlson trung bình của nhóm tử vong (7,3 ± 3,6) cao hơn nhóm sống (3,5 ± 2,7) (95% CI: 2,33 - 5,23). Sốc trong 24 giờ đầu có nguy cơ tử vong trong 3 tháng cao hơn nhóm không sốc (95% CI: 1,26 - 11,02). Nghiên cứu kết luận tỷ lệ tử vong sau 3 tháng do mọi nguyên nhân là 20,2%, trong đó 5,1% liên quan đến tắc động mạch phổi. Chỉ số bệnh kèm Charlson và tình trạng sốc 24 giờ đầu là các yếu tố tiên lượng độc lập cho tử vong 3 tháng.This study evaluated the three-month mortality rate and associated factors in patients with acute pulmonary embolism (PE) from the time of diagnosis. A retrospective review was conducted on 174 patient records with ICD codes for acute PE at Hanoi Medical University Hospital from January 2019 to May 2024. Data were collected from 114 patients with an average age of 61.3 ± 17.4 years. The in-hospital mortality rate was 7.1%, while the three-month mortality rate was 20.2%, of which 5.1% were directly related to PE. The mean Charlson Comorbidity Index in the deceased group (7.3 ± 3.6) was higher than in the surviving group (3.5 ± 2.7) (95% CI: 2.33 - 5.23). Patients with shock within the first 24 hours had higher risk of three-month mortality compared to those without shock (95% CI: 1.26 - 11.02). The study concluded that the three-month all-cause mortality rate was 20.2%, with 5.1% directly related to PE. The Charlson Comorbidity Index and the presence of shock within the first 24 hours were independent prognostic factors for three-month mortality.

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